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首页> 外文期刊>Photodiagnosis and Photodynamic Therapy >Identification of extrahepatic metastasis of hepatocellular carcinoma using indocyanine green fluorescence imaging
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Identification of extrahepatic metastasis of hepatocellular carcinoma using indocyanine green fluorescence imaging

机译：吲哚菁绿色荧光成像技术鉴定肝细胞癌肝外转移

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摘要

Background/purpose: Intraoperative fluorescence imaging with indocyanine green (ICG) plays a significant role in the identification of hepatocellular carcinoma (HCC) during Hepatectomy. Despite that, few researchers have reported using ICG fluorescence imaging to detect extrahepatic metastases. Herein, we report the successful application of ICG fluorescence imaging in the detection of extrahepatic metastatic lesions from primary liver cancer.Methods: In two HCC patients, a near-infrared fluorescence imaging system was used to intraoperatively examine the abdominal cavity for implantation metastasis after hepatectomy of the primary tumor, following preoperative intravenous infusion with ICG.Results: In the first case, the abdominal cavity implantation metastasis exhibited intense fluorescence and clear boundaries of tumors during abdominal tumor resection, and there was no fluorescence in the resection margin. In the second case, a new lesion that was not detected by preoperative imaging examination was found in the omentum by ICG fluorescence imaging. Intraoperative rapid freezing pathology showed that it was an adenocarcinoma. Accordingly, we revised the tumor staging.Conclusion: ICG fluorescence imaging can not only detect intrahepatic metastases, but also extrahepatic metastases. Furthermore, it can help surgeons correct tumor staging during surgery.
机译：背景/目的：吲哚菁绿（ICG）的术中荧光成像在肝切除术中肝细胞癌（HCC）的鉴定中起着重要作用。尽管如此，很少有研究人员报道使用ICG荧光成像来检测肝外转移。本文报道了ICG荧光成像技术在原发性肝癌肝外转移灶的检测中的成功应用。方法：在两名HCC患者中，使用近红外荧光成像系统术中检查肝切除术后腹腔的植入转移情况。结果：在第一种情况下，腹腔植入转移在腹部肿瘤切除过程中表现出强烈的荧光和清晰的肿瘤边界，在切除边缘没有荧光。在第二种情况下，通过ICG荧光成像在大网膜中发现了术前影像学检查未发现的新病灶。术中快速冷冻病理表明它是腺癌。因此，我们修订了肿瘤分期。结论：ICG荧光成像不仅可以检测肝内转移，还可以检测肝外转移。此外，它可以帮助外科医生在手术过程中纠正肿瘤分期。

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  • 来源
    《Photodiagnosis and Photodynamic Therapy》 |2019年第3期|417-420|共4页
  • 作者

    He Pan; Huang Tao; Fang Cheng; Su Song; Tian Jie; Xia XianMing; Li Bo;

  • 作者单位

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China|Southwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China;

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China;

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China;

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China;

    Chinese Acad Sci, Key Lab Mol Imaging, Inst Automat, Beijing 100190, Peoples R China;

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China;

    Southwest Med Univ, Affiliated Hosp, Dept Hepatobiliary Surg, Luzhou 646000, Peoples R China;

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  • 正文语种 eng
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  • 关键词

    Indocyanine green; Fluorescence imaging; Implantation metastasis; Hepatocellular carcinoma;

    机译：吲哚菁绿;荧光成像;植入转移;肝细胞癌;

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