Yoshikawa J, Matsui O, Kadoya M, Gabata T, Arai K, Takashima T
Department of Radiology, School of Medicine, Kanazawa University, Japan.
J Comput Assist Tomogr. 1992 Mar-Apr;16(2):206-11. doi: 10.1097/00004728-199203000-00006.
We report a histological analysis of the areas of high density in the postequilibrium and delayed phase CT in 43 focal hepatic lesions. The cases consisted of 16 cholangiocellular carcinomas, 9 hepatocellular carcinomas (including a sclerosing type of hepatocellular carcinoma and a combined hepatocellular-cholangiocellular carcinoma), 13 metastases, 2 granulomas, an inflammatory pseudotumor, a malignant lymphoma, and an epithelioid hemangioendothelioma. Computed tomography was performed after hepatic angiography using 40-50 g iodine and arteriographic CT using 35 g iodine. The areas of delayed enhancement corresponded histologically to fibrotic tissues, from inflammatory change to extensive fibrosis.
我们报告了43例局灶性肝病变在平衡后和延迟期CT上高密度区域的组织学分析。病例包括16例胆管细胞癌、9例肝细胞癌（包括1例硬化型肝细胞癌和1例肝细胞-胆管细胞混合型癌）、13例转移瘤、2例肉芽肿、1例炎性假瘤、1例恶性淋巴瘤和1例上皮样血管内皮瘤。在使用40 - 50 g碘进行肝血管造影后行计算机断层扫描，并使用35 g碘进行动脉造影CT。延迟强化区域在组织学上对应于从炎症改变到广泛纤维化的纤维组织。
