Seo Jung Wook, Lim Jae Hoon, Choi Dongil, Jang Hyun-Jung, Lee Won Jae, Lim Hyo Keun
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Seoul 135-710, Republic of Korea.
Clin Imaging. 2005 Jul-Aug;29(4):266-72. doi: 10.1016/j.clinimag.2004.11.001.
To evaluate the clinical significance of indeterminate, small, low-attenuating nodular lesions on helical dynamic computed tomography (CT) in chronic liver diseases, CT images were reviewed retrospectively in 281 patients. Indeterminate, low-attenuating nodular lesions less than 20 mm in diameter were followed for 24 to 35 months. Of 127 nodules in 73 patients, 21 nodules turned out to be hepatocellular carcinomas (16%), 25 nodules (20%) became larger, while the remaining 81 nodules (64%) remained unchanged or disappeared. Some low-attenuating nodules larger than 10 mm in diameter may develop into hepatocellular carcinoma.
为评估螺旋动态计算机断层扫描（CT）中慢性肝病患者不确定的、小的、低密度结节性病变的临床意义，我们对281例患者的CT图像进行了回顾性分析。对直径小于20 mm的不确定、低密度结节性病变进行了24至35个月的随访。73例患者的127个结节中，21个结节最终确诊为肝细胞癌（16%），25个结节（20%）增大，其余81个结节（64%）保持不变或消失。一些直径大于10 mm的低密度结节可能会发展为肝细胞癌。
