胆囊癌的CT影像特征及分期
The Images Characteristic of CT and Stage of Gallbladder Carcinoma (Analysis of 15 Cases)
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摘要: 本文分析了经CT诊断和病理证实的15例胆囊癌的CT影像特征和分期, 作者认为腔内型属于胆囊癌的较早期表现, 预后较好; 厚壁型和实变型属于胆囊癌的中晚期表现, 厚壁型以局部或邻近组织器官浸润为主, 实变型则以肝和肝门的血行转移和淋巴播散为主。 肝内胆管扩张为胆囊癌的常见CT影像(8/15), 同时对胆囊癌的鉴别诊断、早期诊断和预后进行了探讨。Abstract: This article analysed the images characteristic of CT and stage in 15 cases with CT diagnosed and histologically proved gallbladder carcinoma. Authors suggest that intraluminal mass are part of early manifestations of gallbladder carcinoma and better prognosis. Thickened wall and mass belong to middle-advanced stage manifestations. Thickened wall mainly are infiltrated organizations of local or nearly,but mass mainly are hematogenous spread and lymphatic spread to liver and hepaticportal. Intrahepatic duct expansion are common image of CT scan of gallbladdercarcinoma (8/15), The authors also discussed differential diagnosis and early diagnosis and prognosis.