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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (11) : 1082 -1084. doi: 10.3877/cma.j.issn.1672-6448.2024.11.012

所属专题: 经典病例

病例报告

胆囊癌肉瘤超声造影表现一例
黎富新1, 黄品同1,()   
  1. 1.310009 杭州,浙江大学医学院附属第二医院超声医学科
  • 收稿日期:2024-07-28 出版日期:2024-11-01
  • 通信作者: 黄品同

Contrast-enhanced ultrasound findings of gallbladder carcinosarcoma: a case report

Fuxin Li, Pintong Huang()   

  • Received:2024-07-28 Published:2024-11-01
  • Corresponding author: Pintong Huang
引用本文:

黎富新, 黄品同. 胆囊癌肉瘤超声造影表现一例[J/OL]. 中华医学超声杂志(电子版), 2024, 21(11): 1082-1084.

Fuxin Li, Pintong Huang. Contrast-enhanced ultrasound findings of gallbladder carcinosarcoma: a case report[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(11): 1082-1084.

图1 胆囊癌肉瘤的声像图表现。图a:灰阶超声显示病灶呈混合回声,边界不清,形态不规则;图b:彩色多普勒血流显像示病灶血流信号不明显。图c:造影16 s病灶开始增强;图d:造影30 s病灶增强强度达峰值;图e:造影41 s病灶明显消退;图f:造影126 s病灶完全消退。红色箭头示肝内肿块,蓝色箭头示增厚的胆囊底
图2 MRI检查示肝内肿块动脉期呈边缘、结节样增强,肝被膜受牵拉、内陷
图3 CT检查示肝内肿块动脉期呈边缘、结节样增强,密度不均,CT均值约为42
图4 肝部分切除术后病理显微镜下可见上皮样及梭形细胞(HE×100)
图5 术后超声复查,肝Ⅵ段低回声结节,造影动脉期结节呈环形不均匀高增强
图6 术后MRI复查,肝Ⅵ段结节弥散加权成像显示弥散受限
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