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[胆囊黏液腺癌的超声及CT表现]

[US and CT findings of mucinous carcinomas of the gallbladder].

作者信息

Nobusawa H, Hashimoto T, Munechika H, Soejima K, Seino N, Kurashita Y, Gokan T, Kushihashi T, Hishida T

机构信息

Department of Radiology and First Pathology, Showa University School of Medicine.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 1994 Dec 25;54(14):1359-67.

PMID:7596765
Abstract

Mucinous carcinomas of the gallbladder are relatively uncommon. Their radiological findings have not been described previously. We describe the CT and US findings of mucinous carcinoma of the gallbladder in 3 cases. Tumors (thickened wall and/or intraluminal polypoid mass) showed hyperechogeneity or isoechogeneity on US and water density on CT. US clearly detected large polypoid lesions, but CT was unable to detect these lesions in 2 cases. Therefore, we stressed the discrepancy between the findings of US and CT. These features can be explained by the fact that a tumor containing a large amount of mucin produces a mass of near-water density in the gallbladder on CT. It is of value to know the radiological findings of these tumors because the diagnosis is easily missed by CT study alone.

摘要

胆囊黏液性癌相对少见。其放射学表现此前尚未见描述。我们描述了3例胆囊黏液性癌的CT和超声表现。肿瘤(增厚的壁和/或腔内息肉样肿物)在超声上表现为高回声或等回声,在CT上表现为水样密度。超声能清晰检测到较大的息肉样病变,但有2例CT未能检测到这些病变。因此,我们强调了超声和CT表现之间的差异。这些特征可以用以下事实来解释,即含有大量黏液的肿瘤在CT上于胆囊内产生接近水样密度的肿块。了解这些肿瘤的放射学表现很有价值,因为仅通过CT检查很容易漏诊。

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