肝硬變結節性病變的影像學和相關病理學表現_《中國普外基礎與臨床雜志》

作者：

吳苾 , 宋彬

四川大學華西醫院放射科（成都610041）;

關鍵詞：

肝硬變肝細胞癌磁共振成像 X線計算機體層攝影術超聲成像病理學

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目的介紹1995年國際肝病工作組關于肝硬變結節的分類標準，總結與病理學特征相關的各種肝結節的影像學表現，并探討各種影像學檢查方法的診斷價值。方法用超聲、CT、MRI、血管造影性CT等各種影像學檢查方法。結果在肝硬變背景基礎上肝癌的發生、發展，沿循從再生結節、低度非典型性結節、高度非典型性結節到小肝癌（SHCC）、大肝癌的逐步演進過程，在此過程中同時伴有結節內血流供應和灌注的相應變化。結論現代影像學檢查技術的發展為肝內各種結節的檢出、定性和鑒別診斷提供了多種十分有效的方法，為各類肝結節，特別是早期小肝癌結節的診斷、治療創造了有利條件。

引用本文： 吳苾,宋彬. 肝硬變結節性病變的影像學和相關病理學表現. 中國普外基礎與臨床雜志, 2003, 10(3): 288-294. doi: 復制

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15.	Itoh Y, Akamatsu K. Relationships between echo lever and histological characteristics in small hepatocellular carcinomas [J]. J Clin Ultrasound, 1998; 26(6)∶ 295.
16.	李傳福，劉松濤，馬祥興.螺旋CT多期增強掃描對小肝癌的診斷 [J]. 山東醫科大學學報,2000； 38（4）∶ 403.
17.	Zhou K,Yan F,Tu B. Evaluation of the arterial phase of biphasic enhanced SCT in the diagnosis of small HCC [J]. Zhonghua Ganzangbing Zazhi, 1999; 7(3)∶ 135.
18.	王薇.三種檢查方法聯合早期發現肝細胞癌的臨床意義 [J]. 實用放射學雜志, 2000； 16（8）∶ 496.
19.	Rode A,Bancel B,Douek P, et al. Small nodule detection in cirrhotic livers: evaluation with US, spiral CT, and MRI and correlation with pathologic examination of explanted liver [J]. J Comput Assist Tomogr, 2001; 25(3)∶ 327.
20.	楊海山，張宇，張惠茅.US、CT、MRI和DSA診斷原發性肝癌的比較研究 [J]. 中國醫學影像學雜志, 2001； 9（1）∶ 70.
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22.	Yu JS,Kim MJ.Hepatocellular carcinoma: contrastenhanced MRI [J].Abdom Imaging, 2002; 27(2)∶ 157.

1. International Working Party. Terminology of nodular hepatocellular lesions [J]. Hepatology, 1995; 22（3）∶ 983.
2. 周曉軍. 肝臟交界性病變的病理組織學特點 [J]. 中華病理學雜志,2001； 30（3）∶ 222.
3. Krinsky G. Terminology of hepatocellular nodules in cirrhosis: plea for consistency [J]. Radiology, 2002; 224(3)∶ 638.
4. Hussain SM, Zondervan PE, IJzermans JN, et al. Benign versus malignant hepatic nodules: MR imaging findings with pathologic correlation [J]. Radiographics, 2002; 22(5)∶ 1023.
5. Choi BI. Hepatocarcinogenesis in liver cirrhosis: imaging diagnosis [J]. J Korean Med Sci, 1998; 13(2)∶ 103.
6. Lim JH,Choi BI. Dysplastic nodules in liver cirrhosis： imaging [J]. Abdom Imaging, 2002; 27(2)∶ 117.
7. Matsui O, Kadoya M, Kameyama T, et al. Benign and malignant nodules in cirrhotic livers: distinction based on blood supply [J]. Radiology, 1991; 178(2)∶ 493.
8. Matsui O, Ueda K, Kobayashi S, et al. Intra and perinodular hemodynamics of hepatocellular carcinoma: CT observation during intraarterial contrast injection [J]. Abdom Imaging, 2002; 27(2)∶ 147.
9. Hayashi M, Matsui O, Ueda K, et al. Progression to hypervascular hepatocellular carcinoma: correlation with intranodular blood supply evaluated with CT during intraarterial injection of contrast material [J]. Radiology, 2002; 225(1)∶ 143.
10. Roncalli M, Roz E，Coggi G, et al. The vascular profile of regenerative and dysplastic nodules of the cirrhotic liver: implications for diagnosis and classification [J]. Hepatology, 1999; 30(5)∶ 1174.
11. Horton KM, Bluemke DA, Hruban RH, et al. CT and MR imaging of benign hepatic and biliary tumors [J]. Radiographics, 1999; 19(2)∶ 431.
12. 李肅，徐堅民，單軍. 肝局灶結節樣增生MR、CT表現（附6例報告） [J]. 實用放射學雜志,2001； 17（4）∶ 281.
13. Mathieu D, Bruneton JN, Drouilard J, et al. Hepatic adenomas and focal nodular hyperplasia: dynamic CT study [J]. Radiology, 1986; 160(1)∶ 53.
14. Takayasu K, Furukawa H, Wakao F, et al. CT diagnosis of early hepatocellular carcinoma: sensitivity, findings, and CTpathologic correlation [J]. AJR Am J Roentgenol, 1995; 164(4)∶ 885.
15. Itoh Y, Akamatsu K. Relationships between echo lever and histological characteristics in small hepatocellular carcinomas [J]. J Clin Ultrasound, 1998; 26(6)∶ 295.
16. 李傳福，劉松濤，馬祥興.螺旋CT多期增強掃描對小肝癌的診斷 [J]. 山東醫科大學學報,2000； 38（4）∶ 403.
17. Zhou K,Yan F,Tu B. Evaluation of the arterial phase of biphasic enhanced SCT in the diagnosis of small HCC [J]. Zhonghua Ganzangbing Zazhi, 1999; 7(3)∶ 135.
18. 王薇.三種檢查方法聯合早期發現肝細胞癌的臨床意義 [J]. 實用放射學雜志, 2000； 16（8）∶ 496.
19. Rode A,Bancel B,Douek P, et al. Small nodule detection in cirrhotic livers: evaluation with US, spiral CT, and MRI and correlation with pathologic examination of explanted liver [J]. J Comput Assist Tomogr, 2001; 25(3)∶ 327.
20. 楊海山，張宇，張惠茅.US、CT、MRI和DSA診斷原發性肝癌的比較研究 [J]. 中國醫學影像學雜志, 2001； 9（1）∶ 70.
21. Murakami T, Kim T, Takahashi S, et al. Hepatocellular carcinoma: multidetector row helical CT [J]. Abdom Imaging, 2002; 27(2)∶ 139.
22. Yu JS,Kim MJ.Hepatocellular carcinoma: contrastenhanced MRI [J].Abdom Imaging, 2002; 27(2)∶ 157.

《中國普外基礎與臨床雜志》

肝硬變結節性病變的影像學和相關病理學表現

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

肝硬變結節性病變的影像學和相關病理學表現

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料