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目的探讨肝胆管囊腺瘤的临床特征和CT表现,以提高该病的术前诊断水平。方法回顾性分析3例经手术切除并经病理证实的肝胆管囊腺瘤的临床表现和CT特点,并结合文献复习。结果 3例肝胆管囊腺瘤患者,男1例,女2例。临床表现为肝区疼痛不适,1例出现发热、黄疸;血清肿瘤标记物检查1例CA199轻度升高。1例病灶位于肝左叶,2例位于肝右叶,均表现为囊实性肿块,实性成分动脉期轻中度强化,静脉期持续强化。结论肝胆管囊腺瘤好发于中年女性,影像学表现有一定的特征性。
Objective To investigate the clinical features and CT findings of hepatobiliary cystadenoma in order to improve the preoperative diagnosis of this disease. Methods The clinical features and CT features of 3 cases of hepatobiliary cystadenoma resected surgically and confirmed by pathology were reviewed retrospectively. Results 3 cases of hepatobiliary cystadenoma patients, 1 males and 2 females. Clinical manifestations of liver pain and discomfort, fever and jaundice in 1 case; serum tumor markers in 1 case of CA199 mildly elevated. One of the lesions was located in the left lobe of liver and the other two were located in the right lobe of the liver. Both of them showed cystic solid mass. The solid component was mild to moderate in arterial phase and continuously in vein phase. Conclusions Hepatobiliary cystadenomas occur in middle-aged women, and imaging findings have certain characteristics.