儿童肝脏肿瘤的综合成像。第一部分：恶性病变（原发性和转移性）。

Integrated imaging of hepatic tumors in childhood. Part I: Malignant lesions (primary and metastatic).

作者信息

Miller J H, Greenspan B S

出版信息

Radiology. 1985 Jan;154(1):83-90. doi: 10.1148/radiology.154.1.2981115.

DOI:10.1148/radiology.154.1.2981115

Abstract

Both the prognosis and treatment of hepatic tumors in children depend upon the histological diagnosis and the extent of disease. Recent advances in imaging techniques permit characterization of specific tumors and differentiation from other intrahepatic processes. An integrated imaging protocol involving a combination of ultrasound, computed tomography, and scintigraphy often provides a high degree of accuracy. Patterns derived from 40 cases of hepatoblastoma, hepatocellular carcinoma, rhabdomyosarcoma, monotypic small-cell sarcoma, and metastatic tumors are discussed and an algorithm for evaluation of hepatic tumors in children is presented.

摘要

儿童肝肿瘤的预后和治疗均取决于组织学诊断及疾病范围。成像技术的最新进展有助于明确特定肿瘤的特征并与其他肝内病变相鉴别。超声、计算机断层扫描和闪烁扫描相结合的综合成像方案通常具有较高的准确性。本文讨论了40例肝母细胞瘤、肝细胞癌、横纹肌肉瘤、单型小细胞肉瘤及转移性肿瘤的影像特征，并提出了一种儿童肝肿瘤的评估算法。