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结直肠肝转移瘤的胆管内生长:影像学表现谱及其对手术治疗的影响。

Intrabiliary growth of colorectal liver metastasis: spectrum of imaging findings and implications for surgical management.

机构信息

1 Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030.

出版信息

AJR Am J Roentgenol. 2013 Oct;201(4):W582-9. doi: 10.2214/AJR.12.9508.

Abstract

OBJECTIVE

The propensity for colorectal liver metastasis to invade the biliary tree is increasingly recognized, placing particular emphasis on the risk of postoperative recurrence. This article illustrates the spectrum of imaging findings when colorectal metastasis invades the biliary tree.

CONCLUSION

Knowledge of the imaging features of intrabiliary invasion by colorectal liver metastasis improves the quality of preoperative staging and is crucial in an era in which nonanatomic wedge resection and radiofrequency ablation are routinely performed.

摘要

目的

结直肠肝转移侵袭胆道的倾向日益受到重视,尤其强调术后复发的风险。本文阐述了结直肠转移瘤侵犯胆道的影像学表现。

结论

了解结直肠肝转移瘤胆管内侵犯的影像学特征可提高术前分期的质量,在常规进行非解剖性楔形切除和射频消融的时代至关重要。

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