Lee N W, Wong K P, Siu K F, Wong J
Clin Radiol. 1984 Mar;35(2):119-23. doi: 10.1016/s0009-9260(84)80008-2.
Endoscopic retrograde cholangiography or percutaneous transhepatic cholangiography was performed in 22 patients suffering from hepatocellular carcinoma who presented with obstructive jaundice. Cholangiographic features included intraluminal filling defects within the major ducts causing complete or partial obstruction, involvement of the ductal system by tumour encasement resulting in a localised stricture or diffuse irregular strictures and dilatations, and displacement and stretching of the extrahepatic or intrahepatic ducts by tumour mass. Eight patients presented with more than one of these cholangiographic features. The observed cholangiographic features, though not specific for hepatocellular carcinoma, have provided an additional differential diagnosis in interpreting cholangiograms. The information obtained from cholangiography has also enabled selection of patients for surgery and allowed more accurate operative planning.
对22例出现梗阻性黄疸的肝细胞癌患者进行了内镜逆行胆管造影或经皮经肝胆管造影。胆管造影特征包括主胆管内的腔内充盈缺损导致完全或部分梗阻、肿瘤包绕使胆管系统受累导致局限性狭窄或弥漫性不规则狭窄及扩张，以及肿瘤肿块使肝外或肝内胆管移位和拉长。8例患者出现了不止一种上述胆管造影特征。观察到的胆管造影特征虽并非肝细胞癌所特有，但在解读胆管造影时提供了额外的鉴别诊断依据。从胆管造影获得的信息还能帮助选择手术患者并实现更精确的手术规划。
