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“类血管瘤样强化”:肝转移癌化疗后的特殊CT表现

Hemangioma-like enhancement:A special CT sign of chemotherapytreated liver metastases

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【作者】 叶靖许乙凯刘岘吕国士

【Author】 YE Jing,XU Yi-kai,LIU Xian,et al.Nanfang Medical University Nanfang Hospital Centre of Medical Image,Guangzhou 515010,China

【机构】 南方医科大学南方医院影像中心广东省中医院放射科南方医科大学南方医院影像中心 广东广州510515广东广州510515广东广州510510

【摘要】 目的:探讨化疗后肝转移瘤在CT扫描中出现类似血管瘤样强化的意义。方法:回顾7例(共10个)CT扫描中出现类似血管瘤样强化的化疗后肝转移瘤,并分析病灶的大小、密度和强化特征。结果:本组10个病灶中最小0.7cm,最大3.5cm,10个病灶平扫为低密度,其中7个边界清楚,3个边界不清;增强后病灶为边缘不均匀强化(6个)或无明显强化(4个),门脉期或延迟后均见对比剂均匀充填。结论:肝转移瘤化疗后CT扫描可出现“类血管瘤样强化”,应引起足够重视。

【Abstract】 Objective:To evaluated the nature of hemangioma-like enhancement of chemotherapy-treated liver metastases on CT images.Methods:7 patients 10 liver metastases with hemangioma-like enhancement on CT image were reviewed,and the size,density and enhancement pattern of the lesion were analysed.Results:The smallest diameter was 0.7cm and the largest was 3.5cm;these 10 masses manifested low density on plain CT scan and 7 masses were well-defined,three were ill-defined;on immediate postenhancement images,6 masses demonstrated peripheral nonuniform enhancement,and 4 masses demonstrated no enhancement;on delayed imaging shows complete filling of the entire mass.Conclusion:Liver metastases treated by chemotherapy may appear hemangioma-like enhancement,which should be paid much attention to.

  • 【文献出处】 医学影像学杂志 ,Journal of Medical Imaging , 编辑部邮箱 ,2006年01期
  • 【分类号】R735.7
  • 【被引频次】6
  • 【下载频次】117
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