摘要
目的 :探讨 7例肝脏恶性肿瘤活检后肿瘤种植的影像学诊断。材料和方法 :回顾性分析 7例 (男 6例 ,女 1例 )经手术证实为肝脏肿瘤穿刺活检致肿瘤种植转移的CT、MRI资料。 7例均行CT检查 ,3例行MRI检查。 6例行原发灶及转移灶的切除 ,1例因严重肝硬化伴有多发肝脏肿瘤而无法手术 ,仅行转移部位开放式微波固化。结果 :术前诊断有肿瘤种植CT3例 ,MRI1例 ,另外 3例无种植转移的诊断。 7例经手术证明均为活检后肿瘤种植。 3例已死亡 ,其余在随访中。结论 :鉴于超声穿刺有引起针道种植转移的可能性 ,在其它技术指标能够诊断肝细胞癌的情况下 ,应尽量避免使用。
Purpose: The aim of this study was to summarize the experience of the diagnosis for seeding of liver carcinoma after percutaneous needle biopsy. Materials and Methods: 7 cases (6 males and 1 female) with seeding of hepatocellular carcinoma after percutaneous needle biopsy confirmed by surgical operation. 7 cases were analyzed retrospectively underwent CT and 3 cases with MRI. Among them, 6 cases were managed by operation (original and seeding excision), 1 case with serious cirrhosis was treated by conservative treatment. Results: Among 7 cases, diagnostic accuracy in 3 cases was demonstrated with CT and 1 case with MR imaging; 3 cases with difficult diagnosis. All cases were proved to seeding of liver carcinoma after surgical operation. 3 cases died and 4 were in followed up. Conclusion: Because of possible seeding after percutaneous needle biopsy, needle biopsy may be indicated only if it is not possible to diagnose HCC by other means.
出处
《中国医学影像学杂志》
CSCD
2002年第4期259-261,共3页
Chinese Journal of Medical Imaging
