CT and MRI Imaging Findings of Gallbladder Neuroendocrine Tumor
- VernacularTitle:胆囊神经内分泌肿瘤的CT与MRI影像学表现
- Author:
Ze-di HUANG
1
;
Dong-ye WANG
2
;
Yan-ji LUO
3
;
Jia-xiu HE
4
,
5
;
Xue LIU
4
,
5
;
Jun SHEN
2
Author Information
1. 1. Department of Radiology，Baoan Central Hospital of Shenzhen，Shenzhen 518102，China；
2. 2. Department of Radiology，Sun Yat-sen Memorial Hospital，Sun Yat-sen University，Guangzhou 510120，China；
3. 3. Department of Radiology，the First Affiliated Hospital，Sun Yat-sen University，Guangzhou 510080，China；
4. 4. Department of Radiology，Linzhi People&prime
5. s Hospital，Linzhi 860114，China
- Publication Type:Journal Article
- Keywords:
gallbladder tumor, neuroendocrine tumor, tomography, X-ray computer, magnetic resonance imaging
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2019;40(4):629-635
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To summarize the CT and MRI imaging features of gallbladder neuroendocrine tumor.【Methods】 CT and MRI data of 10 patients with gallbladder neuroendocrine tumors proven by surgical pathology between January 2010 and May 2018 were retrospectively analyzed. Among them，6 patients underwent CT examination，3 underwent MRI examination，and 1 patient underwent both CT and MRI examinations. The size，morphologic features and contrast enhancement pattern of gallbladder tumors，and the presence of liver metastasis，bile duct and perihepatic metastasis，lymph node metastasis，and the presence of gallbladder stone were assessed.【Results】Among these 10 cases of gallbladder neuroendocrine tumor，the largest dimension of tumors ranged from 39 mm to 120 mm. The tumors manifest? ed as a mass protruding into the lumen with a broad base adhering to the wall of the gallbladder. In 7 patients who had undergone CT examination，the tumors manifested as an irregular mass with soft tissue density on CT. In 4 patients who had undergone MRI，the tumors showed homogeneous iso-intense signal on T1-weightedimaging，heterogenous hyper-intense signal on T2- weighted imaging，and limited diffusion on diffusion- weighted imaging. All tumors in 10 patients showed moderate，heterogeneous and persistent enhancement. Eight patients had liver metastasis，among whom 7 had metastases in liver segments 4 and 5，and 1 had multiple metastases in other liver segments. Six patients had bile duct invasion and 3 had hilar fat invasion. Seven patients had lymph node metastasis. One patient had gallstone.【Conclusion】Gallbladder neuroendocrine tumor has certain characteristic CT and MRI findings，such as a large mass in gallbladder，which tends to invade adjacent liver parenchyma，and extend along gallbladder neck and gallbladder ducts，accompanied with hepatic portal and retroperitoneal lymph node metastasis，and hilar fat invasion.
