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題名 | Centrally-located Sclerosing Hepatocellular Carcinoma: A Case Report with Imaging Findings before and after Transcatheter Arterial Chemoembolization=中心位置硬化性肝細胞癌於動脈栓塞治療前後之影像學發現:一病例報告 |
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作者 | 洪敦玫; 李潤川; 姜仁惠; 張政彥; Hong, Tun-mei; Lee, Rheun-chaun; Chiang, Jen-huey; Chang, Cheng-yen; |
期刊 | 中華放射線醫學雜誌 |
出版日期 | 20010600 |
卷期 | 26:3 2001.06[民90.06] |
頁次 | 頁147-152 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | 硬化性肝細胞癌; 肝細胞癌; 電腦斷層攝影; 經導管動脈栓塞治療; Sclerosing hepatocellular carcinoma; Hepatocellular carcinoma; Computer tomography; CT; Transcatheter arterial chemoembolization therapy; TACE; |
中文摘要 | 硬化性肝細胞癌是一種罕見的肝細胞癌亞型,特徵在於有豐富的纖維性基質。它的影像學表現不同於一般的肝細胞癌。我們報告一例五十五歲女性病人長有此種罕見的肝癌亞型在肝門周圍,電腦斷層及血管攝影發現此腫瘤的周圍部份呈現高血管性,而中心纖維部分呈現延遲顯影。它對經導管動脈栓塞治療效果不佳,治療後電腦斷層攝影發現油性碘Lipiodol呈球滴狀沉積在腫瘤周邊。 |
英文摘要 | Sclerosing hepatocellular carcinoma is a rare subtype of hepatocellular carcinoma (HCC), characterized by intense fibrous stroma separating cords of tumor cells. It has a different imaging presentation from that of ordinary HCC. We report this uncommon subtype of HCC around the hepatic hilum in a 55 year-old female. The lesion showed hypervascularity in the peripheral portion and prolonged enhancement in the central fibrous portion on both dynamic computed tomography (CT) scan and angiography. The tumor was resistant to the transcatheter arterial chemoembolization therapy, and peripheral globular Lipiodol retention was noted in the tumor site of liver on the follow-up CT scan. |
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