脐尿管癌螺旋CT影像学表现及其临床价值

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (0 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的：探讨脐尿管癌的螺旋CT影像学表现及其临床诊断价值。方法：回顾性分析15例经手术及病理证实的脐尿管癌患者的CT资料。结果：原发脐尿管肿瘤14例，其中脐尿管黏液腺癌13例，脐尿管小细胞内分泌癌1例；脐尿管转移癌1例。15例肿瘤均位于脐与膀胱顶部之间脐尿管走行区，14例原发脐尿管肿瘤均表现为囊实性，其中４例脐尿管黏液腺癌内可见点状、斑片状或弧形钙化。脐尿管转移癌表现为实性肿块，并膀胱前壁肿块，邻近膀胱壁及结肠壁增厚。结论：脐尿管癌螺旋CT影像学表现有一定特征性，其对脐尿管癌的定位、定性诊断及临床治疗方案的制定具有重要价值。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	徐国萍1
	张雪宁1
	卢暄2

关键词 ：癌, 脐尿管, 体层摄影术, 螺旋计算机

Abstract：Objective: To analyze the spiral computer tomography manifestations and its value in the diagnosis of urachal carcinoma. Methods: A total of 15 patients with urachal carcinoma diagnosed by pathological examination in our hospital were included in this study. We retrospectively analyzed CT images. Results: In the group, 14 patients had primary urachal carcinoma including 1 urachus small cell endocrine cancer and 13 mucus adenocarcinomas, and another 1 had urachus metastasis. Fourteen patients who had primary urachal carcinoma showed cysticsolid mass over the apex of the bladder, and 4 had calcification. Solid mass of urachus and bladder was found in urachus metastasis, partial thickness of the colon and the bladder wall was found. Conclusion: CT is an effective imaging modality in the localization and qualitative diagnosis of urachal carcinoma. Moreover, it can provide more information for clinical treatment.

Key words： Carcinoma Urachus Tomography, spiral computed

PACS:	Ｒ737.1
	Ｒ814.42

基金资助:2015-09-14

通讯作者: 徐国萍，天津医科大学第二医院放射科，300211。E-mail：doctorxu312@126.com

作者简介: 徐国萍（1979-），女，天津人，主治医师。E-mail：doctorxu312@126.com

引用本文:

徐国萍1，张雪宁1，卢暄2. 脐尿管癌螺旋CT影像学表现及其临床价值[J]. 中国临床医学影像杂志, 2016, 27(4): 271-274.
XU Guo-ping1, ZHANG Xue-ning1, LU Xuan2. Spiral computer tomography imaging findings of urachal carcinoma and its clinical value. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(4): 271-274.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2016/V27/I4/271

[1]Kumar N, Khosla D, Kumar R, et al. Urachal carcinoma: clinicopathological features, treatment and outcome[J]. J Cancer Res Ther, 2014, 10(3): 571-574.
[2]Williams CR, Chavda K. En Bloc Robot-assisted Laparoscopic Partial Cystectomy, Urachal Resection, and Pelvic Lymphadenectomy for Urachal Adenocarcinoma[J]. Rev Urol, 2015, 17(1): 46-49.
[3]刘高瑞，孙光，王一，等. 原发性膀胱黏液腺癌的诊治分析[J]. 临床泌尿外科杂志，2015，30（2）：112-114.
[4]Cho SY, Moon KC, Park JH, et al. Outcomes of Korean patients with clinically localized urachal or non-urachal adenocarcinoma of the bladder[J]. Urol Oncol, 2013, 31(1): 24-31.
[5]陈雯微，任伟，杨觅，等. 膀胱脐尿管癌合并膀胱尿路上皮癌1例及文献复习[J]. 现代肿瘤医学，2015，（9）：1247-1250.
[6]Gopalan A, Sharp DS, Fine SW, et al. Urachal carcinoma: a clinicopathologic analysis of 24 cases with outcome correlation[J]. Am J Surg Pathol, 2009, 33(5): 659-668.
[7]Asano K, Miki J, Yamada H, et al. Carcinoma of urachus: report of 15 cases and review of literature—is total cystectomy the treatment of choice for urachal carcinoma?[J]. Nihon Hinyokika Gakkai Zasshi, 2003, 94(4): 487-494.
[8]林一锱，罗敏，高源统. 脐尿管癌的多层螺旋CT诊断[J]. 医学影像学杂志，2013，23（2）：262-264.
[9]Zhang J, Wu J. Options for diagnosis and treatment of urachal carcinoma[J]. Asia Pac J Clin Oncol, 2013, 9(2): 117-122.
[10]叶永强，余景武，沈国鑫，等. 脐尿管囊肿MSCT影像表现[J]. 医学影像学杂志，2012，22（9）：1568-1570.
[11]Mizusawa H, Oguchi T, Domen T, et al. Two cases of lower abdominal tumors difficult to differentiate from urachal tumors[J]. Nihon Hinyokika Gakkai Zasshi, 2014, 105(1): 17-21.
[12]冯涛，孙光，张金刚. 关于脐尿管癌临床病理学特点及手术疗效的研究[J]. 天津医科大学学报，2010，16（1）：99-102.
[13]沙建军，陈伟，张连华，等. 腹腔镜下扩大性膀胱部分切除联合盆腔淋巴结清扫术治疗脐尿管癌[J]. 中华泌尿外科杂志，2010，31（6）：379-382.
[14]Siefker-Radtke A. Urachal adenocarcinoma: a clinician’s guide for treatment[J]. Semin Oncol, 2012, 39(5): 619-624.