多层螺旋CT鉴别诊断胆囊神经内分泌癌与胆囊腺癌的应用价值  

作　　者：苏东颖 樊树峰 吴芳 

机构地区：[1]浙江中医药大学附属第二医院,310005

出　　处：《浙江临床医学》2022年第6期904-905,908,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨多层螺旋CT鉴别诊断胆囊神经内分泌癌(GB-NEC)与胆囊腺癌(GB-ADC)的应用价值。方法回顾性收集经手术病理证实的GB-NEC患者12例和GB-ADC患者47例,分析两种病变的CT影像特征,包括病灶部位、大小、形态、黏膜连续性、强化方式、边界、病灶与肝脏分界。结果胆囊病灶形态、边界、黏膜连续性、增强扫描病灶周围包膜样强化对于鉴别诊断GB-NEC与GB-ADC有统计学意义(P<0.05)。GB-NEC与GB-ADC的病灶部位、大小、强化程度及与肝脏分界的差异无统计学意义(P>0.05)。结论多层螺旋CT影像学表现在GB-NEC与GB-ADC的鉴别诊断中具有重要参考价值。Objective To explore the application value of multi-slice spiral CT in the differential diagnosis of gallbladder neuroendocrine carcinoma(GB-NEC)and gallbladder adenocarcinoma(GB-ADC).Methods 12 patients with GB-NEC and 47 patients with GB-ADC confirmed by surgery and pathology were collected retrospectively.The CT image characteristics of the two lesions were analyzed,including lesion location,size,shape,mucosal continuity,enhancement mode,boundary and the boundary between lesion and liver.Results The shape,boundary and continuity of the gallbladder lesions,and the capsule like enhancement around the lesions were statistically significant in the differential diagnosis of GBNEC and GB-ADC(P<0.05),but there was no statistical significance in the location,size,enhancement degree and liver boundary of the lesions(P>0.05).Conclusion Multi-slice spiral CT imaging findings have important reference value in the differential diagnosis of GB-NEC and GB-ADC.

关 键 词：胆囊神经内分泌癌 胆囊腺癌 多层螺旋CT 鉴别诊断 

分 类 号：R73[医药卫生—肿瘤]