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有无神经丛的受侵是影响胰、胆管癌预后的一个重要因素,关于这方面的研究甚少。作者回顾性分析了16例经手术和病理证实的胆总管癌(均为腺癌)的CT表现,其中近端胆总管癌2例,远端胆总管癌(或腺内癌)14例。在14例远端胆总管癌中手术或组织学证实有神经丛受侵者8例,而2例近端胆总管癌均有神经的受侵。以上10例中,9例有病理标本的对照研究,另1例虽未能手术切除,但术中证实肿瘤已侵及神经丛。该10例神经丛受侵病例中,男性8例,女性2例,年龄43～77岁(平均64岁)。CT扫描机为Somatom Plus 32设备。均在一
Whether the plexus is affected or not is an important factor influencing the prognosis of pancreatic and bile duct cancer. There is very little research on this aspect. The authors retrospectively analyzed the CT findings of 16 cases of common bile duct cancer (adenocarcinoma) confirmed by surgery and pathology, including 2 cases of proximal common bile duct cancer and 14 cases of distal common bile duct cancer (or intra-adenocarcinoma). In 14 cases of distal common bile duct cancer, 8 cases were confirmed to have plexus invasion by surgery or histology, and 2 cases of proximal common bile duct cancer were affected by nerves. In the above 10 cases, 9 cases had a comparative study of pathological specimens, while the other one had not been surgically removed, but it was confirmed during surgery that the tumor had invaded the plexus. Of the 10 cases of plexus invasion, 8 were males and 2 were females, aged 43 to 77 years (average 64 years). The CT scanner is a Somatom Plus 32 device. All in one