The spiral CT manifestations of the blood supply of primary hepatocellular carcinoma: correlation with pathologic findings
- VernacularTitle:原发性肝癌血供特点的螺旋CT表现及其与病理学特性的相关性研究
- Author:
Juan HUANG
;
Xiangping ZHOU
;
Rongbo LIU
- Publication Type:Journal Article
- Keywords:
Carcinoma,Hepatocellular;
Tomography, X ray computed;
Pathology
- From:
Chinese Journal of Radiology
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the correlation between the CT features of tumor blood supplies and the pathological changes in primary hepatocellular carcinoma (PHCC). Methods Fifty cases with surgically and pathologically proved PHCC underwent spiral CT scanning (plain+dual phase). One research group blindly evaluated the CT films obtained. According to tumor contrast enhancement and signals showed on CT, the patterns of PHCC was divided into 4 types: arterial blood supplying, portal blood supplying, arterial combining with portal blood supplying, and poorly blood supplying. Microscopically, PHCC was respectively classified into grade I to Ⅳ with Edmonson′s standard, and into 4 types (trabecular, pseudoglandular, compact, scirrhous) with WHO histological grading standard. At last, the CT features of tumor blood supplies were correlated with pathologic changes. Results 36(72%) cases were supplied by hepatic arterial blood, 6(12%) by arterial combining with portal blood supplying, 4(8%) by portal, and 4(8%) were poorly blood supplying. The patterns of tumor blood supplies in PHCC correlated with tumor cells differentiation ( P
