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一般肝细胞癌常并发于肝硬化或肝炎,作出诊断时多已无法切除,总的预后很差。纤维层样肝细胞癌是组织学上一种亚型,常见于即往无肝病史的年轻患者。此型肿瘤切除机会较大死亡率较低。作者回顾了12例经手术病理证实为纤维层样肝细胞癌的放射学表现特征,这些肝病组织学上全部或部分有伊红浓染色,肝细胞肥大,大量纤维性基质围绕着肝细胞呈层样排列。12例病人男性5例,女性7例,年龄16-63岁,平均29岁,各种影象检查显示:10例为单发(83%),1例为多叶性伴卫星结节灶,1例左右肝叶均有。CT发现的11个肿瘤有9个
In general, hepatocellular carcinoma is often complicated by cirrhosis or hepatitis, and it is often impossible to remove the liver during diagnosis. The overall prognosis is poor. Fibrous hepatocellular carcinoma is a histological subtype that is common in young patients with a history of no liver disease. This type of tumor removal has a higher mortality rate. The authors reviewed the radiologic features of 12 cases of hepatocellular carcinoma confirmed by surgery and pathology. These liver diseases were histologically stained with Erythrocytes in all or part of histology, hepatocyte hypertrophy, and a large number of fibrotic stromas surrounding hepatocytes. Sample arrangement. In 12 patients, there were 5 males and 7 females, aged 16-63 years, with an average of 29 years. Various image examinations showed that 10 cases were solitary (83%) and 1 was multilobular with satellite nodules. One case had left and right lobes. 9 of 11 tumors discovered by CT