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慢性血吸虫病肝硬化合并癌变 CT 诊断

CT Manifestations of Hepatic Schistosomiasis Complicated with Carcinoma.A Report of 4 Cases
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摘要 日本血吸虫病肝硬化合并癌的CT表现,既有典型的日本血吸虫肝硬化的特征,也有常见的肝硬变征象,同时合并癌灶。主要表现为肝包膜及像间隔样垂直于肝包膜的条纹状纤维化、钙化影,互相交错,将肝脏分隔成大小不等、形态不一的区域,使肝脏CT图像呈地图样外观。在地图样纤维化、钙化的间隔内肝实质呈斑片状的不均匀的低密度灶,也可表现为在条状钙化灶以外的肝实质内弥漫性的小斑片状低密度。增强扫描,低密度区轻度不均匀强化,而间隔样纤维化、钙化影则不被强化。 Among 17 patients with hepatic schistosomiasis Japonica identified by CT, 4 complicated with hep- atoma are reported. Their main CT findings were that in addition to cirrhotic changes,there were some strip-like fibrotic or calcified shadow discernible perpendicular to the surface of the liver,and that they were interposed by low density areas dif- ferent in size and shape resulting in a map-like appearence. After injection of contrast medium,there was slight heteroge- neous enhancement in low density areas but not in the fibrotic or calcified linear shadows.
出处 《中国肿瘤临床》 CAS CSCD 北大核心 1993年第11期847-849,T000,共4页 Chinese Journal of Clinical Oncology
关键词 CT 日本血吸虫病 肝硬变 Hepatic cirrhosis Schistosomiasis Hepatoma CT
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