Pöckler C, Brambs H J, Glaser F
Abteilung Radiologische Diagnostik, Radiologische Klinik, Universität Tübingen.
Bildgebung. 1993 Jun;60(2):101-4.
Biliary cystadenomas are rare biliary ductal neoplasms of congenital origin. There is an excellent correlation between CT and sonographic findings for number, size and location of the lesions. However, sonography can demonstrate better morphologic features such as thickened wall, mural nodules and septations. CT shows more clearly the accurate size and location of the neoplasm to surrounding structures. Angiography is not diagnostic; however, it can help to distinguish between benign and malignant lesions. MRI provides useful information for surgical planning, demonstrating well the relationship of the tumor to vascular structures and other organ systems. Complete excision is the treatment of choice to prevent recurrence or malignant transformation of biliary cystadenomas.
胆管囊腺瘤是一种罕见的先天性胆管肿瘤。CT与超声检查在病变数量、大小和位置的表现上具有高度相关性。然而,超声检查能更好地显示增厚的壁、壁结节和分隔等形态特征。CT能更清晰地显示肿瘤的准确大小及其与周围结构的位置关系。血管造影不能用于诊断,但有助于鉴别良性和恶性病变。MRI可为手术规划提供有用信息,能很好地显示肿瘤与血管结构及其他器官系统的关系。完整切除是预防胆管囊腺瘤复发或恶变的首选治疗方法。