原发性肝细胞肝癌血供特点的CT表现与病理对照研究  

The CT manifestations of blood supply of primary hepatocellular carcinoma with pathologic correlation

作　　者：许玲[1] 王龙胜[1] 郑穗生[1] 

机构地区：[1]安徽医科大学第二附属医院放射科,合肥230601

出　　处：《安徽医学》2014年第2期160-163,共4页Anhui Medical Journal

摘　　要：目的探讨原发性肝细胞肝癌(PHCC)血供方式的CT表现其及病理学基础,以提高影像诊断准确性。方法回顾性分析经手术病理证实的70例原发性肝细胞肝癌的CT表现,并与病理结果对照研究。结果 70例患者中,动脉供血型53例、门静脉供血型3例、双重供血7例、少血供7例;中分化肝癌30例,低分化肝癌40例。结论 PHCC大多数为动脉供血型,少部分为门静脉供血型、肝动脉和门静脉双重供血型和少血供型。PHCC的血供方式与其癌细胞分化程度有关。Objective To study the CT features of primary hepatocellular carcinoma blood supplies and pathological basis,in order to improve the imaging diagnostic accuracy.Methods CT performance of 70 cases of PHCC proved by surgical pathology was retrospectively analysed and controlled studied with the pathological results.Results In the 70 cases,there were 53 cases of arterial blood supply,3 cases of portal blood supply,7 cases of arterial combined with portal blood supply,7 cases of poorly blood supply,30 cases of differentiated PHCC,and 40 cases of poorly differentiated PHCC.Conclusion For PHCC,most belong to arterial blood supply,a small part is supplied by portal blood,arterial combined with portal blood or lack of blood supplies.Way of PHCC blood supply is associated with the degree of differentiation of cancer cells.

关 键 词：肝细胞 癌 X线计算机 病理学 

分 类 号：R735.7[医药卫生—肿瘤]