脐尿管癌的MSCT表现与病理对照
1. 北京和睦家医院，北京 100015；2. 北京大学首钢医院，北京 100041
Urichal carcinoma: MSCT findings compared with pathology
1. Beijing United Family Hospital, Beijing 100015, China; 2. Peking University Shougang Hospital, Beijing 100041, China
摘要 目的：探讨脐尿管癌的多层螺旋CT（MSCT）表现，提高对该病的诊断水平。方法：回顾性分析8例脐尿管癌的MSCT表现，包括肿块的部位、形态、密度、增强特点、局部侵犯和转移，并与术后病理结果对照。结果：8例脐尿管癌在MSCT上均表现为位于脐尿管走行区的中线肿块，7例呈囊实性，1例呈实性，5例肿块内见钙化，增强扫描后所有肿块呈不均匀强化。膀胱黏膜受侵7例，表现为膀胱腔内不规则肿块。结论：脐尿管癌有其独特的发生部位和较为典型的影像学表现，MSCT有助于对其进行正确的术前诊断。
关键词 ：
脐尿管 ,
癌 ,
体层摄影术 ,
螺旋计算机
Abstract ：Objective: To discuss findings of urachal carcinoma by MSCT, and improve the ability for the diagnostic level of the disease. Methods: The MSCT findings of eight cases with surgically proven urachal carcinomas were retrospectively reviewed. CT images were evaluated to determine tumor localization, morphology, density, enhanced pattern, extent of local invasion and metastases, and compared with pathology. Results: MSCT in all eight cases showed a mass located in the midline between the dome of the bladder and the umbilicus. Seven cases were mixed cystic solid lesions and one case was completely solid. Calcifications were present in five cases. All lesions showed heterogeneous enhancement after contrast administration. Bladder mucosal invasion was present in seven cases, was seen as an intra luminal irregular mass. Conclusion: MSCT examination before surgery is useful to correctly diagnose of urachal carcinoma which showed unique location and characteristic imaging findings.
Key words ：
Urachus
Carcinoma
Tomography, spiral computed
收稿日期: 2015-07-22
通讯作者:
张 滨
引用本文:
郝帅营1，张 滨2，李新华2，费胜民2，于明川2，胡明球2，那彦群2. 脐尿管癌的MSCT表现与病理对照[J]. 中国临床医学影像杂志, 2016, 27(3): 187-190.
链接本文:
http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2016/V27/I3/187
[1]Sheldon CA, Clayman RV, Gonzales R, et al. Malignant urachal lesions[J]. J Urol, 1984, 131(3): 1-8.
[1]
陈正国，刘启榆，陈 娇，杨 兴，何 瑜. 99mTc-MIBI核素显像与CT在原发性甲状旁腺功能亢进症中的诊断价值
[2]
伏红超，程 韬，卢国丰. 胃窦部神经鞘瘤致胃套叠1例
[3]
李雪艳1，段 钰2，于丽娟1. 18F-FDG PET/CT在乳腺癌腋窝淋巴结转移上的诊断价值
[4]
张计旺1，范丽娟1，徐冬生1，董 智1，李 旭1，张立仁1，于铁链2. 冠状动脉追踪冻结技术在前瞻性和回顾性心电门控下改善CTCA图像质量
[5]
余正春，马小静，夏 娟，李 菁. 主-肺动脉间隔缺损及右肺动脉起源于升主动脉合并主动脉弓离断的影像学诊断
[6]
徐国萍1，张雪宁1，卢 暄2. 脐尿管癌螺旋CT影像学表现及其临床价值
[7]
张 鹏，杨军妍，丁世斌，宋继业. 布氏杆菌性脊柱炎的MRI、CT表现
[8]
谭艳娟，包凌云. 非肿块型乳腺癌的影像学诊断进展
[9]
谭克平1，李 严2，李 军1，杨明浩1. 胃钙化性纤维性肿瘤影像学表现1例
[10]
周丽萍，耿文霞，江莉英. 超声诊断肾细胞癌局部切除术后肾内假性动脉瘤及介入治疗1例
[11]
吴燕萍，甘科红，周立峰，王满立，丛淑珍. 甲状腺微小乳头状癌的超声表现及病理对照分析
[12]
吴凌峰1，黄金标2，张道春2. 肾脏原发性平滑肌肉瘤的CT表现
[13]
刘尼军，田延龙，杨千朋，李 朋. 左颌下异位甲状腺癌1例
[14]
索凌云，任转勤. 肝泡状棘球蚴脑播散1例
[15]
张 靖，杨艳敏，陆建环，杨柠娜，高 丽. 胶囊内镜及小肠CT成像对不明原因消化道出血的诊断价值
