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中国癌症防治杂志

中国癌症防治杂志

• 论文 • 上一篇    下一篇

肝癌肝移植术后复发转移的影像诊断

何强;王小兰;王在国;郑惊雷;叶振伟;何润沛;胡夏荣;游志坚;林志强;   

  1. 广东省东莞市人民医院放射科;广东省东莞市人民医院肿瘤外科;
  • 收稿日期:2009-06-25 修回日期:2009-06-25 出版日期:2009-06-25 发布日期:2009-06-25

The imageology diagnosis on recurrence and metastasis of primary liver cancer after liver transplantation

HE Qiang~1,WANG Xiao-lan~1,WANG Zai-guo~2 et al.   

  1. (1 Department of Radiotherapy;2 Department of Tumor Surgery in Cancer Center,Dongguan People's Hospital,Dongguan Guangdong 523018,China
  • Received:2009-06-25 Revised:2009-06-25 Online:2009-06-25 Published:2009-06-25

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摘要： 目的探索肝癌肝移植术后复发转移的影像学诊断方法。方法对18例接受肝脏移植的肝癌患者,术后定期行肝脏B超及CT、胸部X-Ray、全身骨扫描(ECT)检查,同时定期监测AFP定量变化情况,并对上述各种影像学检查方法对复发转移的诊断价值作出评价。结果12例患者术后出现肝内复发和(或)肝外转移,其中肝内复发7例,肺转移5例,骨转移3例,脑、肾转移各1例。全部复发转移病灶均被B超、CT、X-Ray或ECT及时诊断。结论B超、CT、X-Ray、ECT检查手段并结合病史资料及AFP定量分析,可以对肝癌肝移植术后复发转移作出及时诊断。

关键词: 肝癌, 肝移植, 复发, 转移, 影像诊断

Abstract: Objective To explore the imageology Methodsfor diagnosing recurrence and metastasis of primary liver cancer after liver transplantation.Methods Eighteen patients with liver transplantation were regularly examined through B-US,CT,chest X-Ray and ECT.The values of AFP were detected at the same time.The values of the examine Methodson diagnosing the recurrence and metastasis of liver cancer were evaluated.Results There were 12 patients with intrahepatic recurrence and/or extra-hepatic metastasis,which included 7 cases of intrahepatic recurrence,5 cases of lung metastasis,3 cases of bone metastasis,1 case of brain metastasis and 1 case of kidney metastasis.All of these recurrence and metastasis lesions were detected by B-US,CT,chest X-Ray and ECT in time.Conclusions With the imageology Methodssuch as B-US,CT,chest X-Ray and ECT,combined with patient ' s history and AFP value,diagnosis on metastasis and recurrence of liver cancer after liver transplantation can be achieved in time.

Key words: Primary liver cancer, Liver transplantation, Recurrence, Metastasis, Imageology diagnosis