MSCT肝癌微血管侵犯征象对肝癌术后复发的相关性分析

doi:10.13491/j.issn.1004-714x.2018.03.024

中国辐射卫生

2018, Vol. 27

Issue (3): 280-284 DOI: 10.13491/j.issn.1004-714x.2018.03.024

诊断与治疗/论著

本期目录 | 过刊浏览 | 高级检索

MSCT肝癌微血管侵犯征象对肝癌术后复发的相关性分析

王昕然

北京市宣武中医医院放射科, 北京 100050

Correlation analysis of MSCT tumor microvascular invasion signs on postoperative recurrence of liver cancer

WANG Xinran

Department of Radiology, Beijing Xuanwu TCM Hospital, Beijing 100050 China

摘要
图/表
参考文献
相关文章 (1)

全文: PDF (11328 KB) HTML ( )
输出: BibTeX | EndNote (RIS)

摘要目的探讨MSCT肝癌微血管侵犯征象对肝癌术后复发的相关性。方法对我院行根治性切除的孤立性肝癌患者进行为期2年的随访，以是否复发作为随访终点；并对其术前MSCT资料进行回顾性分析，将MSCT肝癌微血管侵犯征象与随访结果进行对照分析。结果 MSCT肝癌微血管侵犯征象与病理肝癌微血管侵犯、肝癌术后复发均存在显著相关性（均P<0.05）。MSCT肝癌微血管侵犯征象预测肝癌术后复发的敏感度、特异度以及准确度分别为71.88%（23/32）、81.48%（22/27）以及76.27%（45/59）。结论 MSCT肝癌微血管侵犯征象与肝癌术后复发具有一定的相关性。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王昕然

关键词 ：肝癌, MSCT, 微血管侵犯, 复发

收稿日期: 2018-03-06

PACS:

R814.42

作者简介: 王昕然(1961-),男,北京人,主治医师,主要从事普放和CT影像诊断工作。E-mail:foggynb012@sina.com

引用本文:

王昕然. MSCT肝癌微血管侵犯征象对肝癌术后复发的相关性分析[J]. 中国辐射卫生, 2018, 27(3): 280-284.
WANG Xinran. Correlation analysis of MSCT tumor microvascular invasion signs on postoperative recurrence of liver cancer. , 2018, 27(3): 280-284.

链接本文:

http://www.zgfsws.com/CN/10.13491/j.issn.1004-714x.2018.03.024 或 http://www.zgfsws.com/CN/Y2018/V27/I3/280

[1] Forner A, Llovet JM, Bruix J. Hepatocellular carcinoma[J]. Lancet, 2012, 379(9822):1245-1255.
[2] Bosch FX, Ribes J, Díaz M, et al. Primary liver cancer:Worldwide incidence and trends[J]. Gastroenterology, 2004, 127(5 Suppl 1):S5-S16.
[3] Bruix J, Gores GJ, Mazzaferro V. Hepatocellular carcinoma:clinical frontiers and perspectives[J]. Gut, 2014,63(5):844-855.
[4] Mazzaferro V. Resection and liver transplantation for hepatocellular carcinoma[J]. Semin Liver Dis, 2005,25(2):181-200.
[5] Chou CT, Chen RC, Lin WC, et al. Prediction of microvascular invasion of hepatocellular carcinoma:preoperative CT and histopathologic correlation[J]. AJR Am J Roentgenol, 2017,203(3):W253-259.
[6] Chou C T, Chen R C, Lee C W, et al. Prediction of microvascular invasion of hepatocellular carcinoma by pre-operative CT imaging[J]. Br J Radiol, 2012, 85(1014):778-83.
[7] 张俊. 术前CT肿瘤形态检查对肝细胞癌微血管侵犯的预测价值[J]. 肝脏, 2015(10):793-796.
[8] Bruix J, Sherman M. Practice Guidelines Committee, American Association for the Study of Liver Diseases[J]. Hepatology, 2005, 53:1208-1236.
[9] Cucchetti A, Ercolani G, Vivarelli M, et al.Is portal hypertension a contraindication to hepatic resection?[J].Ann Surg, 2009, 250(6):922-928.
[10] Chou CT, Chen RC, Lin WC, et al. Prediction of microvascular invasion of hepatocellular carcinoma:preoperative CT and histopathologic correlation[J]. AJR Am J Roentgenol, 2017,203(3):W253-259.
[11] Chou C T, Chen R C, Lee C W, et al. Prediction of microvascular invasion of hepatocellular carcinoma by pre-operative CT imaging[J]. Br J Radiol, 2012, 85(1014):778-83.
[12] Banerjee S, Wang D S, Kim H J, et al. A computed tomography radiogenomic biomarker predicts microvascular invasion and clinical outcomes in hepatocellular carcinoma[J]. Hepatology, 2015, 62(3):792-800.
[13] 左阳, 苏丹柯, 赖少侣,等. MDCT动态增强扫描测量肝癌与膈肌交界面弓弦比对膈肌侵犯的诊断价值[J]. 中国癌症防治杂志, 2015, 7(3):206-209.
[14] 中国抗癌协会肝癌专业委员会,中华医学会肝病学分会肝癌学组,中国抗癌协会病理专业委员会等.原发性肝癌规范化病理诊断指南(2015年版)[J].中华肝胆外科杂志,2015,21(3):145-151.
[15] 金赟, 李江涛. 肝癌细胞侵犯微血管的临床相关因素及分子标志物的研究进展[J]. 临床肝胆病杂志, 2013, 29(7):550-553.
[16] Zimmerman M A, Ghobrial R M, Tong M J, et al. Recurrence of hepatocellular carcinoma following liver transplantation:a review of preoperative and postoperative prognostic indicators.[J]. Arch Surg, 2008, 143(2):182-188.
[17] Renzulli M, Brocchi S, Cucchetti A, et al. Can Current Preoperative Imaging Be Used to Detect Microvascular Invasion of Hepatocellular Carcinoma[J]. Radiology, 2016, 279(2):432-442.
[18] Ng IO, Lai EC, Ng MM, et al. Tumor encapsulation in hepatocellular carcinoma. A pathologic study of 189 cases[J]. Cancer, 1992, 70(1):45-49.
[19] Matsui O, Kobayashi S, Sanada J, et al. Hepatocelluar nodules in liver cirrhosis:hemodynamic evaluation (angiography-assisted CT) with special reference to multi-step hepatocarcinogenesis[J].Abdom Imaging, 2011, 36(3):264-272.
[20] 李金平, 李大庆, 张金玲,等. 肝癌边缘双期CT强化特征与组织病理学的相关性[J].哈尔滨医科大学学报, 2012, 46(3):285-289.