小肝细胞癌：利用彩色多普勒血流成像与腺瘤样增生结节相鉴别。

Small hepatocellular carcinoma: differentiation from adenomatous hyperplastic nodule with color Doppler flow imaging.

作者信息

Tanaka S, Kitamra T, Fujita M, Kasugai H, Inoue A, Ishiguro S

机构信息

Center for Adult Diseases, Osaka, Japan.

出版信息

Radiology. 1992 Jan;182(1):161-5. doi: 10.1148/radiology.182.1.1309217.

DOI:10.1148/radiology.182.1.1309217

PMID:1309217

Abstract

Liver nodules smaller than 25 mm in diameter (19 hepatocellular carcinomas [HCCs] and nine adenomatous hyperplastic nodules [AHNs]) were examined with color Doppler flow imaging and hepatic angiography. Angiography revealed a tumor vessel in eight (42%) of the 19 HCCs, while color Doppler flow imaging revealed an arterial pulsating afferent tumor vessel in 10 (53%) of the 19 HCCs but in none of the AHNs. In addition, color Doppler flow imaging revealed a constant-flow efferent tumor vessel continuing to a portal branch in 10 (53%) of the 19 HCCs but in none of the AHNs. In 15 (79%) of the 19 HCCs, a pulsating afferent tumor vessel or a constant-flow efferent tumor vessel or both were observed. Therefore, in this series, color Doppler flow imaging was of value in distinguishing between these two lesions.

摘要

对直径小于25毫米的肝脏结节（19个肝细胞癌[HCC]和9个腺瘤样增生结节[AHN]）进行了彩色多普勒血流成像和肝血管造影检查。血管造影显示19个HCC中有8个（42%）存在肿瘤血管，而彩色多普勒血流成像显示19个HCC中有10个（53%）存在动脉搏动性传入肿瘤血管，但AHN均未显示。此外，彩色多普勒血流成像显示19个HCC中有10个（53%）存在持续至门静脉分支的恒流性传出肿瘤血管，而AHN均未显示。19个HCC中有15个（79%）观察到搏动性传入肿瘤血管或恒流性传出肿瘤血管或两者皆有。因此，在本系列研究中，彩色多普勒血流成像在区分这两种病变方面具有价值。