Share：
Share this content in WeChat
X
[Chinese][PDF]83870
• Clinical Article •
Imaging features of hepatic hilar cholangiocarcinoma accompanied with bile duct stones
ZENG Huan-zhong  MAO Jia-ji  SHEN Jun 

DOI:10.12015/issn.1674-8034.2016.10.009.


[Abstract] Objective: To investigate the CT and MRI features of hepatic hilar cholangiocarcinoma with simultaneous bile duct stones.Materials and Methods: Fifty-four patients with hilar cholangiocarcinoma confirmed by surgical or biopsy pathology were enrolled. Thirty-four males and twenty females with ages between 28 and 86 years old (median age 61 years old), All patients were divided into two groups according to the presence of absence of bile duct stones as detected by MRI or CT. Among 54 patients with hilar cholangiocarcinoma, eleven patients had bile duct stones (group A), the remaining 43 cases had no bile duct stones (group B). Tumor shape, Bismuth-Corlette type, atrophy of liver lobe and postoperative recurrence were retrospectively analyzed and compared between the two groups.Results: For tumor shape, infiltrative type was found in 3 patients (27.3%) vs. 32 patients (74.4%), mass type in 5 patients (45.4%) vs. 8 patients (18.6%), polypoid type in 3 patients (27.3%) vs. 3 patients (7.0%) respectively in group A and group B. Significant difference was found in tumor shape between the two groups (P<0.05). As for Bismuth-Corlette type, there were 2 cases (18.2%) of type I, 1 case (9.1%) of type II, 4 cases (36.3%) of type IIIa, 2 cases (18.2%) of type IIIb, 2 cases (18.2%) of type IV in group A; and 3 cases (7.0%) of type I, 14 cases (32.6%) of type II, 6 cases (14.0%) of type IIIa, 10 cases (23.2%) of type IIIb, 10 cases (23.2%) of type IV in group B. No significant difference was found in Bismuth-Corlette type between the two groups (P>0.05). There were 2 recurrent cases (18.2%) in group A while 8 recurrent cases (18.6%) in group B. There were 4 cases (36.3%) with liver lobe atrophy in group A and 15 cases (34.9%) with liver lobe atrophy in group B. No significant differences were found in postoperative recurrence and liver lobe atrophy between the two groups (P>0.05).Conclusion: Hepatic hilar cholangiocarcinomas accompanied with bile duct stones most often manifest as mass type or polypoid type. Hepatic hilar cholangiocarcinomas accompanied with bile duct stones or not represent similarly in respect of Bismuth-Corlette type, postoperative recurrence and liver lobe atrophy.
[Keywords] Bile duct neoplasms；Cholelithiasis；Magnetic resonance imaging；Tomography, X-ray computed

ZENG Huan-zhong Department of Radiology, Dongguan Houjie Hospital, Dongguan 523945, China

MAO Jia-ji Department of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China

SHEN Jun* Department of Radiology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China

*Correspondence to: Shen J, E-mail: shenjun@mail.sysu.edu.cn

Conflicts of interest   None.

Received  2016-07-25
Accepted  2016-09-21
DOI: 10.12015/issn.1674-8034.2016.10.009
DOI:10.12015/issn.1674-8034.2016.10.009.

[1]
中华医学会外科学分会胆道外科学组,解放军全军肝胆外科专业委员会.肝门部胆管癌诊断和治疗指南(2013版).中华外科杂志, 2013, 51(10): 865-871.
[2]
Aljiffry M, Walsh MJ, Molinari M. Advances in diagnosis,treatment and palliation of cholangiocarcinoma: 1990-2009. World J Gastroenterol, 2009, 15(34): 4240-4262.
[3]
詹茜，沈柏用.肝门胆管癌的治疗进展.世界华人消化杂志, 2009,17(32): 3313-3317.
[4]
Cai WK, Sima H, Chen BD, et al. Risk factors for hilar cholangiocarcinoma:A case-control study in China. World J Gastroenterol, 2011, 17(2): 249-253.
[5]
高丽斌.肝门部胆管癌的危险因素分析.河北医学, 2013, 19(1):93-97.
[6]
Bismuth H, Corlette MB. Intrahepatic cholangioenteric anastomosis in carcinoma of the hilus of the liver. Surg Gynecol Obstet, 1975, 140(2): 170-178.
[7]
Lim JH. Cholangiocarcinoma: morphologic classification according to growth pattern and imaging findings. AJR Am J Roentgenol, 2003,181(3): 819-827.
[8]
刘允怡.肝门部胆管癌.北京:人民卫生出版社, 2012: 21-27.
[9]
梁廷波，汤晓锋.肝门部胆管癌的诊治现状.肝胆外科杂志, 2010,18(5): 327-331.
[10]
徐蒙莱，邢春华，陈宏伟,等. DKI技术在肝外胆管癌分级中的应用价值.磁共振成像, 2016, 7(1): 34-39.
[11]
王科，潘婷，周欣,等.基于非高斯分布模型的扩散加权成像在体部疾病中的应用.磁共振成像, 2016, 7(1): 71-76.
[12]
Manfredi R, Barbaro B, Masselli G, et al. Magnetic resonance imaging of cholangiocarcinoma. Semin Liver Dis, 2004, 24(2):155-164.
[13]
Carlos V, Sandra R, Laura M, et al. Radiological diagnosis and staging of hilar cholangiocarcinoma. World J Gastrointest Oncol, 2013, 5(7): 115-126.
[14]
程庆保，张柏和，张永杰,等.肝门部胆管癌预后因素分析.肿瘤,2005, 25(2): 166-169.
[15]
王越，葛春林，张军,等.肝门部胆管癌预后因素分析.中华消化外科杂志, 2010, 9(3): 183-185.

PREV The value of 3.0 T MR-SWI in diagnosis of diffuse axonal injury with non-lesional CT findings
NEXT Study on spectral clustering of amygdala using resting state functional connectivity
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn