肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系分析

宋柟; 史丽琼; 黄敏捷; 王艺

您当前的位置：

首页 >

文章列表页 >

肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系分析

临床研究 | 更新时间：2024-04-19

- 肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系分析
- Changes of ultrasonic signs and their relationship with clinicopathological characteristics in children with hepatoblastoma
- 临床超声医学杂志 2024年26卷第3期
- 作者机构：
  
  1. 华中科技大学同济医学院附属武汉儿童医院超声科
  2. 华中科技大学同济医学院附属武汉儿童医院病理科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号：
- 纸质出版日期：2024，
  
  网络出版日期：2024-4-3，
扫描看全文
宋柟, 史丽琼, 黄敏捷, 等. 肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系分析[J]. 临床超声医学杂志, 2024,26(3).

Changes of ultrasonic signs and their relationship with clinicopathological characteristics in children with hepatoblastoma[J]. Journal of Clinical Ultrasound in Medicine, 2024,26(3).
宋柟, 史丽琼, 黄敏捷, 等. 肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系分析[J]. 临床超声医学杂志, 2024,26(3). DOI：

Changes of ultrasonic signs and their relationship with clinicopathological characteristics in children with hepatoblastoma[J]. Journal of Clinical Ultrasound in Medicine, 2024,26(3). DOI：

摘要

目的：分析肝母细胞瘤患儿超声征象变化及其与临床病理特征的关系。方法：回顾性分析2018年1月-2023年1月在本院收治的36例肝母细胞瘤患儿的超声及病理资料

对比不同病理分型(完全上皮细胞型、不伴畸胎样混合型、伴畸胎样混合型)患儿的超声征象变化。结果：36例肝母细胞瘤患儿超声检查结果显示

13例完全上皮细胞型患儿中

有7例肿瘤位于肝右叶

3例肿瘤位于左右叶

左叶2例

尾叶1例

瘤体平均大小为(286.34±23.75)cm3

规则单发病灶10例

分界清晰病灶9例

不规则瘤内坏死囊变11例；9例不伴畸胎样混合型患儿中

有4例肿瘤位于肝右叶

2例肿瘤位于左右叶

左叶2例

尾叶1例

瘤体平均大小为(282.59±21.98)cm3

规则单发病灶6例

分界清晰病灶5例

不规则瘤内坏死囊变7例；14例伴畸胎样混合型患儿中

有8例肿瘤位于肝右叶

3例肿瘤位于左右叶

左叶2例

尾叶1例

瘤体平均大小为(284.61±22.07)cm3

规则单发病灶11例

分界清晰病灶10例

不规则瘤内坏死囊变12例。三种病理类型的患儿病灶特征相比

差异无统计学意义(P＞0.05)；完全上皮细胞型患儿的肿瘤强回声占比均高于伴畸胎样混合型患儿

不伴畸胎样混合型肿瘤强回声占比又高于伴畸胎样混合型患儿；完全上皮细胞型瘤体的钙化程度明显低于不伴畸样混合细胞型和伴畸样混合细胞型

差异有统计学意义(P＜0.05)。结论：通过分析患儿的肿瘤钙化和强回声占比等超声征象变化能初步判断肝母细胞瘤患儿的病理分型。

Abstract

Objective: To analyze the changes of ultrasonic signs and their relationship with clinicopathological characteristics in children with hepatoblastoma. Methods: A retrospective analysis was performed on the ultrasonic and pathological data of 36 children with hepatoblastoma admitted to the hospital between January 2018 and January 2023. The changes of ultrasonic signs in children with different pathological types (complete epithelial cell type

non-teratoid mixed type

teratoid mixed type) were compared. Results: In the 36 children with hepatoblastoma

results of ultrasound examination showed that among the 13 children with complete epithelial cell type

there were 7 cases with tumors located in right lobe of liver

3 cases in left and right lobes

2 cases in left lobe and 1 case in caudal lobe. The average size of tumors was (286.34±23.75) cm3

there were 10 cases with regular and single lesions

9 cases with boundary-clear lesions and 11 cases with necrosis and cystic lesions in irregular tumors. Among the 9 patients with non-teratoid mixed type

there were 4 cases with tumors located in right lobe of liver

2 cases in left and right lobes

2 cases in left lobe and 1 case in caudal lobe. The average size of tumors was (282.59±21.98) cm3

there were 6 cases with regular and single lesions

5 cases with boundary-clear lesions and 7 cases with necrosis and cystic lesions in irregular tumors. Among the 14 children with teratoid mixed type

there were 8 cases with tumors located in right lobe of liver

3 cases in left and right lobes

2 cases in left lobe and 1 case in caudal lobe. The average size of tumors was (284.61±22.07) cm3

there were 11 cases with regular and single lesions

10 cases with boundary-clear lesions and 12 cases with necrosis and cystic lesions in irregular tumors. There was no significant difference in lesion characteristics among children with different pathological types (P>0.05). The proportion of tumor echo in children with complete epithelial cell type was higher than that in children with teratoid mixed type

and which in children with non-teratoid mixed type was higher than that in children with teratoid mixed type. The calcification degree in children with complete epithelial cell type was significantly milder than that with the other two pathological types (P<0.05). Conclusion: The pathological types of children with hepatoblastoma can be preliminarily determined by analyzing the changes of ultrasonic signs (tumor calcification

echo proportion).

关键词

肝母细胞瘤图像表现临床病理特征

Keywords

HepatoblastomaImage representationClinicopathological characteristic

references

查看原文

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

暂无数据