肝细胞癌的颅骨转移:CT、MR和血管造影表现

• 作 者: 戴洪修
• 出 处: 国外医学(临床放射学分册)
• 发表日期: 1997年01期
• 关键词: 肝细胞癌 CT MR 肝癌治疗 血管造影 影像学 溶骨性 肿瘤血管 软组织肿块 扫描机

肝细胞癌(HCC)的颅骨转移相对罕见。作者复习了6例HCC颅骨转移(9个转移灶)的影像学及临床表现,着重研究其MR征象。6例病人均作了CT和MR扫描,3例作了血管造影。3例颅骨转移以头痛和神经表现为主,先于肝癌发现,另外3例则是在肝癌治疗之后发现的。4例的颅骨转移灶行放疗,1例行TAE,1例于TAE之后手术切除转移瘤。

Skull metastases of hepatocellular carcinoma (HCC) are relatively rare. The authors reviewed the imaging and clinical manifestations of metastases (9 metastatic lesions) in 6 cases of HCC and focused on their MR signs. CT and MR scans were performed in all 6 patients and angiography was performed in 3 patients. In 3 cases of skull metastasis, headache and neurological manifestations were predominant, preceded by liver cancer, and the other 3 cases were found after treatment of liver cancer. Four cases of skull metastases were treated with radiotherapy. One patient underwent TAE and one patient underwent TAE after surgical resection.