论文部分内容阅读
目的:分析23例原发性肝细胞癌胆管内转移的声像表现,以提高该病的超声诊断准确率。材料和方法:23例原发性肝细胞癌胆管内转移病例中,男19例,女4例,均经手术治疗,病理证实。行肝胆常规 B 超。结果:声像图见胆管癌栓呈栓塞型17例,乳头状6例。部分与肝内原发病灶相连,部分无直接相连。10例 B 超未发现肝内原发病灶而于手术探查时发现。结论:原发性肝细胞癌在肿瘤很小时即可能发生胆管内转移,B 超见胆管内实体时,应于肝内仔细探查有无原发病灶,避免漏诊。B 超应为鉴别肝癌出现黄疸原因的首选诊断方法。
Objective: To analyze the sonographic appearance of intrahepatic bile duct metastasis in 23 patients with hepatocellular carcinoma, so as to improve the diagnostic accuracy of this disease. Materials and Methods: Among the 23 cases of intrahepatic metastasis of primary hepatocellular carcinoma, 19 were male and 4 were female. All patients were treated by surgery and pathologically confirmed. Hepatobiliary routine B super. Results: In the sonogram, there were 17 cases of embolism and 6 cases of papillary lesions. Partially associated with the primary lesion in the liver, some are not directly connected. 10 cases of B-ultrasonography did not find the primary lesion in the liver and was discovered during surgical exploration. Conclusions: In primary hepatocellular carcinoma, intrabiliary metastasis may occur when the tumour is very small. When the B hyperplasia is found in the bile duct, the primary lesion should be carefully explored in the liver to avoid missed diagnosis. B-ultrasound should be the first diagnostic method to identify the cause of jaundice in liver cancer.