原发性肝脏恶性纤维组织细胞瘤的超声表现  

Ultrasound findings of primary hepatic malignant fibrous histiocytoma

作　　者：程蕾[1] 陈永安[2] 郭佳[1] 

机构地区：[1]第二军医大学东方肝胆外科医院超声科,上海200438 [2]第二军医大学长海医院中医科

出　　处：《中华医学超声杂志（电子版）》2014年第3期38-40,共3页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨原发性肝脏恶性纤维组织细胞瘤的超声表现。方法回顾性分析2005年7月至2012年8月第二军医大学东方肝胆外科医院16例经手术后病理证实的原发性肝脏恶性纤维组织细胞瘤患者的超声表现。结果16例患者肿瘤均为单发，其中肝右叶9个，肝左叶6个，尾状叶1个。3个肿瘤直径大于10．0cm，10个直径为5．0～10．0cm，3个直径小于5．0cm。肿瘤内部均为不均质回声，其中1个为蜂窝状，2个呈多结节融合，11个肿瘤瘤体与周边分界不清，肿瘤周围均无声晕。手术病理结果示15个为原发性肝恶性纤维组织细胞瘤，1个为原发性肝内胆管恶性纤维组织细胞瘤。结论肝脏恶性纤维组织细胞瘤临床诊断困难，超声检查需结合临床表现及影像学资料综合分析，方能提高诊断原发性肝脏恶性纤维组织细胞瘤的准确性。Objective To investigate the diagnosis and differential diagnosis of primary hepatic malignant fibrous histiocytoma （MFH） by ultrasound. Methods A retrospective analysis of clinical data and ultrasonic findings was performed on 16 patients with pathologically proven hepatic MFH from July 2005 to August 2012 in Eastem Hepatobilary Surgery Hospital of the Second Military Medical University. Results Of the 16 patients, all the tumors were single, which including 9 tumors located in the right lobe, 6 tumors located in the left lobe, and 1 tumor located in caudate lobe of the liver. The tumor sizes were larger than 10.0 cm in 3 cases, between 5.0 cm and 10.0 cm in 10 cases, and less than 5.0 cm in 3 cases. Tumor internal echo was heterogeneous, including 1 case with honeycomb pattern and 2 cases with mosaic sign. Most tumors were unclearly-defined （11 cases） without obvious halo. The pathologic results identified 15 cases of primary hepatic MFH and 1 case of primary intrahepatic bile duct malignant fibrous histiocytoma. Conclusions It is difficult to make correct clinical diagnosis of hepatic MFH. A comprehensive analysis of ultrasound findings and clinical information is needed to obtain an accurat diaznosis of maliznant liver tumors.

关 键 词：超声检查 组织细胞瘤 恶性纤维 肝脏 

分 类 号：R735.7[医药卫生—肿瘤]