透過您的圖書館登入
IP:18.119.118.43
  • 期刊

腹部影像(一○九)肝母細胞瘤病例報告

摘要


兒童肝臟腫瘤之鑑別診斷隨年紀可能有不同之類別,肝母細胞瘤(hepatoblastoma)為最常見在幼年孩童身上發現之肝臟原發惡性腫瘤,治療方法包含手術切除、化學治療、血管栓塞、肝臟移植等。切片檢查為最確切之診斷方法,但影像學方面也可在切片前給予初步鑑別診斷與評估腫瘤侵犯範圍、是否適合手術、有無大血管侵犯或壓迫、遠端肺部及骨頭轉移等,此外也可在腫瘤出血或體積太大時實施動脈栓塞,以利後續處理。本文提出一位肝母細胞瘤之病患,並討論其影像表現、住院檢查與診斷流程,以及兒童常見肝臟腫瘤之鑑別診斷。

參考文獻


Ishak KG, Glunz PR. Hepatoblastoma and hepatocarcinoma in infancy and childhood. Report of 47 cases. Cancer 1967;20:396.
McCarville MB, Roebuck DJ. Diagnosis and staging of hepatoblastoma: imaging aspects. Pediatr Blood Cancer 2012;59:793-9.
Pediatric Hepatoblastoma, Hepatocellular Carcinoma,and Other Hepatic Neoplasms: Consensus Imaging Recommendations from American College of Radiology Pediatric Liver Reporting and Data System (LI-RADS) Working Group.
McCarville ME, Furman WL. Hepatoblastoma. eMedicine from WebMD. < http://www.emedicine.com/radio/topic331.htm>
Brown J, Perilongo G, Shafford E, et al. Pretreatment prognostic factors for children with hepatoblastoma—Results from the International Society of Paediatric Oncology (SIOP) study SIOPEL 1. Eur J Cancer 2000;36:1418-25.

延伸閱讀