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含脂肪原发性肝癌的影像学表现

         

摘要

目的:分析含脂肪肝癌的CT和MRI表现.方法:回顾性分析11例含脂肪肝癌的CT和MRI表现.结果:8例含少量脂肪成分,3例含大片脂肪成分,11例均见包膜样结构,7例实质部分呈"快进快出"样强化.结论:包膜样结构和实质部分的快进快出强化有利于含脂肪肝癌的诊断,慢性肝病史和AFP升高有利于与其它肝脏含脂肪病变相鉴别.%Objective:To analyze the CT and MRI findings of the fat-containing primary hepatocellular carcinoma.rnMethods:Retrospective analysis of CT and MRI findings in 11 cases of pathologically-confirmed fat-containing HCC wasrnconducted. Results: Eight cases contained a small amount of fat while another three cases contained large areas of fat compornnent. All the 11 cases had a capsule-like structure. Solid components in 7 cases had typical enhancement patterns of HCC.rnConclusion:Typical enhancement patterns of solid components and capsular-like structure are conducive to the diagnosis ofrnfat-containing HCC. History of chronic liver disease and abnormal increase of AFP are conducive to differentiatial diagnosisrnfrom the other fat-containing lesions of liver.

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