肝脏黏液性囊性肿瘤的CT及MRI表现  

CT and MRI image characteristics of the liver mucinous cystic tumors

作　　者：倪丽欣 楼晓剑 何萍 俞高龙[1] 

机构地区：[1]中国人民解放军第一一三医院放射科,浙江宁波315040

出　　处：《中国临床医学影像杂志》2017年第12期855-857,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨肝脏黏液性囊性肿瘤的CT及MRI表现特征。方法:回顾性分析我院2011年1月—2016年6月5例经手术病理证实的肝脏黏液性囊性肿瘤的影像学表现,术前行320层多排螺旋CT和(或)1.5T MRI平扫及增强扫描、MRCP扫描。结果:5例肝脏黏液性囊性肿瘤均为良性,CT及MRI均表现为单发的类圆形多房囊性肿块,边缘光整,囊壁或分隔厚度较均匀,分隔可有钙化,增强扫描囊壁及分隔轻至中度延迟强化,肿瘤各分房内囊液密度和(或)信号不完全均匀,囊内均无实性成分或附壁结节,MRCP显示肿瘤均不与肝内胆管相通,周围结构受压改变。结论:肝脏黏液性囊性肿瘤的CT及MRI主要表现为多房囊性病变,囊壁薄且光整,增强后囊壁及其分隔有强化,病灶不与胆管相通,周围组织或结构受压改变,具有一定的特征性。Objective： To investigate the liver mucinous cystic neoplasm of CT, MRI image characteristics. Methods： Ret-rospective analysis of our hospital from January 2011 to June 2016, there were five cases confirmed by surgery of the liver mucinous cystic neoplasms, preoperative CT and（or） 1.5T MRI plain scan and enhanced scan, MRCP scan. Results： Five cases of liver cystic mucinous neoplasms were benign, CT and MR scan showed tumors were round single room separated more like cystic lesions, edge finishing, more uniform wall thickness or partition, the partition may have calcification, and the partition wall reinforcing mild to moderate enhancement, the sub-room tumor cyst fluid density or signal is not exactly the same, no capsule solid components or mural nodules, tumors and intrahepatic bile ducts are not the same, around structure under pres-sure to change. Conclusion： Hepatic mucinous cystic neoplasm in CT and MRI have a certain characteristic. The main ap-pearance is multiple cystic lesions, thin and smooth wall, enhancement of cystic wall and septa, without connecting of bile duct, and compression of surrounding tissues and organs.

关 键 词：肝肿瘤 体层摄影术 螺旋计算机 磁共振成像 

分 类 号：R735.7[医药卫生—肿瘤] R814.42[医药卫生—临床医学]