Detection of combined hepatocellular and cholangiocarcinomas on enhanced CT: Comparison with histologic findings

被引：56

作者：

Nishie, A

Yoshimitsu, K

Asayama, Y

Irie, H

Aibe, H

Tajimal, T

Shinozaki, K

Nakayama, T

Kakihara, D

Shimada, M

Aishima, S

Yoshida, K

Honda, H

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Clin Radiol, Higashi Ku, Fukuoka 8128582, Japan

[2] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Higashi Ku, Fukuoka 8128582, Japan

[3] Kyushu Univ, Grad Sch Med Sci, Dept Pathol Anat, Higashi Ku, Fukuoka 8128582, Japan

[4] Fukuoka City Hosp, Dept Radiol, Hikata Ku, Fukuoka 8120046, Japan

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2005年 / 184卷 / 04期

关键词：

D O I：

10.2214/ajr.184.4.01841157

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. The purpose of this study was to evaluate the performance of enhanced CT in making a diagnosis of combined hepatocellular and cholangiocarcinomas (HCC-CCs) by comparing CT findings with histologic findings. CONCLUSION. One third (nine of 27 cases) of the combined HCC-CCs were correctly diagnosed on enhanced CT by detailed analysis of the enhancing pattern around or within the mass. Various factors such as an atypical enhancing pattern, the size of each component, and the presence of a mass composed of intermediate tumor cells-that is, cells with intermediate characteristics between HCC and CC-were found to be the causes of misdiagnosis of combined HCC-CC on enhanced CT.

引用

页码：1157 / 1162

页数：6

共 12 条

[1]

ALLEN RA, 1949, AM J PATHOL, V25, P647

[2]

AOKI K, 1993, HEPATOLOGY, V18, P1090

[3] The mode of tumour progression in combined hepatocellular carcinoma and cholangiocarcinoma: an immunohistochemical analysis of E-cadherin, alpha-catenin and beta-catenin [J].