原发性肝脏类癌的超声诊断
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Ultrasonic diagnosis of hepatic carcinoid tumors
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    摘要:

    目的 探讨原发性肝脏类癌的超声学表现。方法 回顾性分析我院自2002年9月至2008年11月间9例经手术病理证实的原发性肝脏类癌患者的超声影像资料,分析其超声影像学特征。结果 9例肿瘤直径均大于5 cm,多表现为强或高回声,肿瘤内部回声欠均匀,形态不规则,未见明确包膜,与周围组织界限较清楚,血供较丰富,肿瘤广泛出血坏死时可形成巨大囊实性包块,门静脉及腔静脉未见癌栓。结论 原发性肝脏类癌缺乏特异性超声影像学表现,需要不断总结经验,提高其诊断效能。

    Abstract:

    Objective To explore the ultrasonic presentations of primary hepatic carcinoid tunors. Methods The ultrasonic data of 9 cases of hepatic carcinoid tumors, who were pathologically confirmed from September 2002 to November 2008 in our hospital, were retrospectively analyzed. Results Ultrasonic examination showed that the diameters of the 9 tumors were all >5 cm. The tumors had an irregular morphology and presented with strong or high echo with inhomogeneous echo inside. The tumors had no noticeable capsule and had clear borders and rich blood supply. Wide bleeding and necrosis of tumor could cause the cystic mass. There were no primary nidus or tumor emboli of portal veins. Conclusion Ultrasonic diagnosis of liver carcinoid tumors still lacks specific presentations, and efforts should be made to persistently summarize the experience to improve the diagnosis.

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  • 收稿日期:2011-03-02
  • 最后修改日期:2011-08-11
  • 录用日期:2011-10-02
  • 在线发布日期: 2011-10-21
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