原发性肝脏肉瘤的CT诊断(附6例分析)  

CT Diagnosis of Primary Hepatic Sarcoma(An Analysis of 6 Cases)

作　　者：余日胜[1] 任志达[1] 向可伟 李蓉芬[1] 

机构地区：[1]浙江医科大学附属第二医院放射科

出　　处：《实用放射学杂志》1998年第3期156-157,共2页Journal of Practical Radiology

摘　　要：目的：探讨原发性肝肉瘤的ＣＴ诊断价值。方法：经手术病理证实的６例原发性肝肉瘤作ＣＴ平扫和增强扫描，其中血管肉瘤２例，非血管源性肿瘤４例。结果：血管肉瘤的ＣＴ特征是多发、病灶增强明显和钙化；而非血管源性肉瘤特点为单发、较大、边界欠清的分叶状混合密度肿块伴有坏死囊变。结论：典型的ＣＴ表现结合临床可提示原发性肝肉瘤诊断，确诊需靠活检。Objective:To discuss the value of CT diagnosis of primary hepaticsarcoma.Methods:6 cases of primary hepatic sarcoma confirmed by surgicopathology were examined with plain and contrast enhanced CT scan.2 cases were angiosarcoma and 4 were non-vascular sarcoma.Results:The CT features of angiosarcoma were multiple,enhanced obviously and calcification;with the CT features of non-vascular sarcoma were singular,larger,lobulated,ill-defined-margin,and mixed-dense masses with necrosis and cystic degeneration.Conclusion:The typical CT manifestations combined with clinical picture the diagnosis of primary hepatic sarcoma may be suggested.Yet the correct diagnosis of this tumor is made only by biopsy.

关 键 词：肝肿瘤 肉瘤 诊断 CT 

分 类 号：R735.704[医药卫生—肿瘤] R816.5[医药卫生—临床医学]