儿童肝母细胞瘤31例CT影像分析  

CT Image Analysis of 31 Children with Hepatoblastoma

作　　者：赵祥 李凯[1] ZHAO Xiang;LI Kai(The First Affiliated Hospital of Guangxi Medical University,Nanning,530021)

机构地区：[1]广西医科大学附属第一医院,530021

出　　处：《实用癌症杂志》2023年第7期1190-1193,共4页The Practical Journal of Cancer

摘　　要：目的探讨儿童肝母细胞瘤(HB)的CT表现,以提高临床对HB的认识和早期诊断效能。方法回顾性分析经病理检查证实的31例儿童肝母细胞瘤患者的CT及病理资料。结果31例儿童肝母细胞瘤患儿,肿瘤位于右叶12例,左、右叶14例,左叶5例;瘤体平均直径(114.9±37.3)mm;单发巨块型29例,弥漫多发结节型2例;10例出现钙化灶,1例肝内出现出血灶,24例病灶瘤体内存在液化坏死灶;14例存在假包膜;1例存在肝门淋巴结转移,4例存在下腔静脉或门脉系统癌栓,3例伴有腹腔积液,5例出现肺转移,1例出现左侧肾上腺转移。结论CT检查可以对儿童肝母细胞瘤术前诊断、分期、手术方式选择、术后随访提供帮助。Objective To explore the CT findings of pediatric hepatoblastoma(HB).enhance understanding of this disease and improve early diagnose accuracy.Methods CT findings and pathological characteristics of 31 patients with hepatoblastoma comfirmed by pathology were retrospectively analyzed.Results 31 cases of pediatric hepatoblastoma,12 were located in right lobe.14 were located in right and left lobe.5 were located in left lobe.Mean tumor diameter was(114.9±37.3)mm.29 tumors were solitary giant mass.2 tumors were diffuse mutinodules.Calcification were in 10 cases.Hemorrhage was in 1 case.Necrosis were in 24 case.Psuedocapsule were in 14 case.Hilar lymph node metastasis was in 1 case.Vessel involvement were in 4 case.Astices were in 3 case.Lung metastases were in 5 case.Left adrenal gland metastases was found in 1case.Conclusion CT is helpful for pre-operation diagnose,staging,operation strategy selecting and post-operation follow up of children HB.

关 键 词：肝母细胞瘤 儿童 病理 断层摄影 

分 类 号：R735.7[医药卫生—肿瘤]