肝脏内胆管癌被误诊为肝脏腹的多式成像:一个案例报告
Xinrun Wang1, Yingzhen Chen1, Qiaomei Fu1
1Department of Ultrasound, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.
Journal of clinical ultrasound : JCU
|December 23, 2025
概括
肝脏内胆管癌 (ICC) 可以在成像上模仿肝脏,导致误诊. 这一案例凸显了多式成像和活检对于准确的ICC诊断的必要性,特别是当特征模糊时.
科学领域:
- 肝胆道药物 肝胆道药物
- 诊断成像诊断成像的使用
- 胃肠病学 胃肠病学
背景情况:
- 肝脏内胆管癌 (ICC) 呈现出与肝脏类似的症状和成像发现.
- 在ICC和肝脏之间误诊是常见的,延迟了适当的治疗.
研究的目的:
- 使用多式成像来区分肝脏内胆管癌 (ICC) 和肝脏.
- 分析错误诊断的原因,并提出综合诊断策略.
主要方法:
- 一个56岁的男性的病例报告,最初被诊断为肝脏.
- 使用了对比增强计算机断层扫描 (CECT),磁共振成像 (MRI) 和对比增强超声波 (CEUS).
- 进行超声导向活检以确定确诊.
主要成果:
- 多式成像揭示了边缘增强的病变,使分化复杂化.
- 超声导向活检证实了肝脏内胆管癌 (ICC).
- 文献审查确定了成像的关键差异化特征.
结论:
- 由于重叠的成像特征,精确区分ICC和肝是具有挑战性的.
- 通过活检进行病理确认对于模两可的病例的确诊至关重要.
- 建议采用综合诊断方法,以改善患者的治疗结果.
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