http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
간내 담관암의 전산화단층촬영소견의 특징 - 간 흡충중과의 연관성을 중심으로 -
최병인(Byung Ihn Choi),박재형(Jae Hyung Park),김주완(Chu Wan Kim),김승협(Seung Hyup Kim),김원홍(won Hong Kim),한만청(Chung Yong Kim),김정룡(Eun Sil Yu),김용일(Man Chung Han),유은실(Chu Wan Kim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1
N/A 22 patients with intrahepatic cholangiocarcinomas of the liver were examined with computed tomography (CT). Initial symptom was nonspecific such as upper abdominal discomfort or pain in majority. There was no patient with jaundice or liver cirrhosis. 13 patients (59%) showed positive skin or stool test for clonorchis sinensis. 17 patients had the peripheral type of cholangiocarcinoma and five patients had the main duct type. The tumors showed low-density rnasses in pre and postcontrast CT scan in all cases vith wide variation of homogeneity. The tumor margins were irregular in 18 patients (82%) and the degree of contrast enhancement of the tumor was minimal in 19 patients (86%). 13 patients, who had the clonorchiasis, showed mild, and diffuse dilatation r>f the intrahepatic bile duct in addition to the low-density mass. 12 patients (55%) showed extrahepatic metastasis. In peripheral type of the tumor, five patients showed fine, stippled or aggregated powderlike high-density areas in precontrast Cl scan that vere mucinous substances within the mass on pathologic section. Eleven patients showed markedly low-density masses even in postcontrast CT which corresponded to diffuse, microcystic change of the tumor on resected specimen. In main duct type, all patients showed focal ductal dilataion around the low-density mass. Intrahepatic cholangiocarcinoma should be the primary diagnostic consideration when characteristic CT findings are detected in noncirrhotic patient with clonorchiasis.