剖檢肝臟腫瘤之血管研究

Angiographic Study of Tumors of the Cadaverous Liver

姜仁惠(J. H. Chiang) ； 許重權(C. C. Hsu) ； 于俊(C. Yü)

《中華放射線醫學雜誌》 3卷3期 (1978/09) Pp. 193-199

摘要

榮民總醫院放射線部，自民國66年2月開始，與病理科合作，將剖檢肝臟取出，由肝動脈注入福馬林硫酸鋇懸液作X光照像。肝臟再經福馬林固定兩週後，切成2-3 cm厚度之薄片，再作X光照像。兩次所得結果與病理互相對照，加以分析研究。本研究共使用17例剖檢肝臟。肝細胞癌占10例，瞻管癌1例，轉移性病灶6例。年齡自48至70歲不等。全係男性。圖像顯示肝細胞癌病灶內有豐富的腫瘤血管及塗染。單獨巨型和結節型肝癌之供應血管圍繞病灶周圍，新生血管由周邊向中心灌注而入；瀰漫型之供應血管則長驅直入，進到病灶深部。轉移性病灶結節壓迫供應血管而使之伸扯、移位，血管性減少。此項試驗結果顯示絕大部份患者之肝臟腫瘤均可由血管之分布及特微而加以鑑別。

並列摘要

The purpose of this presentation is to show that different types of hepatic tumors, whether primary or metastatic, can be differentiated by their angiograms. Seventeen cadaverous livers had been studied by the co-operation between the X-Ray and Pathology Department of VGH since Feb. 1977. Among them there are ten cases of hepatoma, one cholagioma and six cases of metastasis. All of them are male. Age distribution was between 48 to 70 years old. From the angiographic pictures we concluded that primary hepatoma was hypervascular with tl4mor stains. Blood vessels would encapsulate the solitary or nodular types of primary hepatoma with new vessels penetrating into the central areas from the periphery. However, vessels of the diffuse types of primary hepatoma penetrated directly .and deeply into each foci. On the other hand, vessels of metastatic type were being stretched and displaced with hypovascularity.