摘要
目的探讨易漏诊及误诊的小肝癌(small hepatocellular carcinoma,SHCC)在螺旋CT扫描中的CT征象。方法分析漏诊或误诊的56例小肝癌CT征象,各病例均于首诊或复诊时经手术或穿刺活检病理证实。结果 56例共发现61个病灶。其中漏诊19个病灶,误诊42个病灶。漏诊19个病灶中外生型12个病灶,其中具备典型CT征象7例,不典型CT征象5例,邻近均有肠管等其他影像干扰;另外7个病灶均呈不典型CT征象。误诊42个病灶均呈不典型CT征象。结论外生型小肝癌(肝脏脏面侧病灶)易漏诊,漏诊或误诊的小肝癌多为不典型CT征象(54/61)。
ObjectiveTo investigate the missed diagnosis and misdiagnosis of small hepatocellular carcinoma （SHCC） of CT signs in spiral CT scan.Method Analysis of 56 cases of small hepatocellular carcinoma CT signs of misdiagnosis or missed diagnosis, all cases were in the ifrst diagnosis or referral by operation or biopsy pathology.Results 56 cases were found in 61 lesions. The missed diagnosis in 19 lesions, 42 lesions misdiagnosed. Miss Jane 19 lesions and type 12 lesions, which have typical CT signs of 7 cases, 5 cases of atypical CT features, all other adjacent bowel image noise; the other 7 lesions were not typical CT signs. Misdiagnosis of 42 lesions were not typical CT signs.Conclusion Exogenous small hepatocellular carcinoma （liver dirty side lesions） missed： missed diagnosis or misdiagnosis of small hepatocellular carcinoma were not typical signs of CT （54/61）.
出处
《当代医学》
2014年第10期75-76,共2页
Contemporary Medicine
关键词
小肝癌
漏诊
误诊
CT征象
Small hepatocellular carcinoma
Missed diagnosis
Misdiagnosis
Tomography
X-ray computed
