Résumé
Objective To improve the recognition of various CT appearances of hepatoblastoma(HB) and evaluate the role of CT in diagnosis. Method In a total of 24 cases, abdominal scan was performed. In 12 of them contrast enhanced CT was available. The CT manifestions of the 24 HB cases were retrospectively analyzed and correlated with clinical pathological findings. Results Fourteen tumors involved the right lobe, 4 tumors involved the left lobe,and 6 both liver lobes. One case invaded the liver diffusely.Most of HB appeared as an intrahepatic well circumscribed round or lobulated solid mass with or without pseudocapsule.Three of them manifested as multiple nodules and distributed in one or both liver lobes.Exophytic growing of tumor was seen in 7 cases. The tumor mass usually exhibited inhomogeneous density and heterogeneous enhancement,some associated with reticular and curvilinear density.Peripheral rim enhancement was present in 3 cases.Calcified foci were found in 6 cases.The hepatic parenchyma outside the tumor was normal in all cases.Two subdiaphragmatic and greater omentum tumor infiltrations could not be found on CT scan. Rare findings included tumor thrombus in one case in IVC, lymphnode metastasis in one case. Conclusion The various CT patterns described in this study are helpful in recognizing and evaluating the prognosis of HB.CT scan could acurately localize and characterize the mass,while not always correct in tumor staging.
Résumé
Objective To describe the CT characterization of retroperitoneal neuroganglionic tumor in order to get a better understanding of the disease. Methods Neuroganglionic tumors proved by operation and pathology (24 cases), as well as bone biopsy (2 cases), were studied in 18 males and 8 females. The mean age of neuroblastoma(14 cases), ganglioneuroblastoma(10 cases), and ganglioneuroma (2 cases) was 1 year 3 months, 3 years 6 months, and 6 years, respectively. Two cases of ganglioneuroma were complicated with leukemia and malignant pheochromocytoma. All cases were examined by CT scanning and 14 of them had contrast enhancement scanning preoperatively. 20 cases were also examined by ultrasound. Results The tumor sizes were 2.0 cm?2.5 cm?2.5 cm～16 cm?10 cm?8 cm. The tumors were all located in the retroperitoneal space, 22 cases were unilateral, 3 were situated in mid line prelumboscrally, and 1 was bilaterally located. The tumor were irregular in 20 cases and round shape in 6 cases; the tumor margin showed distinct in 14 cases and indistinct in 12 cases. Twenty five tumors showed mixture density and isointensity comparing with the kidney, 1 case with homogeneouse low density; 12 of 14 cases were enhanced inhomogeneously and 2 did not enhance; 23 of 26 cases showed different shapes of calcification. Retroperitoneal lymph nodes were swelling in 19 cases. Liver metastases were found in 3 cases, vascular encasement in 18 cases, tumor thrombus in inferior vena cava in 1 case,and tumor extending into spinal canal in 3 cases. Conclusion CT scanning can prompt the diagnosis of retroperitoneal neuroganglionic tumor and bolus injection of contrast medium can further increase the understanding of the abnormality within and around the tumor.
Résumé
Objective To improve the diagnostic level by analysing and the CT features of undifferentiated embryonal sarcoma of liver(UES) in 6 cases all proved by pathology. Methods We retrospectively reviewed the clinical,pathologic,and imaging features in 6 cases.6 cases underwent unenchanced CT scan,5 case enchanced CT Results CT scan revealed a large uniloculated cyst in 3 and multiloculated cyst within hyperdense septations of variable shapes and thickness in 3.The margins of the lesions were well defined. Some solid portions at the periphery or adjacent to the septa were found in all cases. Punctate calcification at the periphery of the lesion was found in 1 case. A thin rim was seen surrounding the cystic tumor in all cases corresponding to the pathologic psedcapsule. The solid portions and the psedcapsule of the tumor had increased attenuation values and the cystic areas showed low attenuation after injection of contrast material. US demonstrated a single echogenic mass within some anechoic spaces of variable size in 4 cases. Conclusion CT scan showed well defined uniloculated or multiloculated cyst within variable amount of solid portions and an enhancing rim and predominantly solid at US. Discrepancy of internal architecture between US and CT was one of the important characteristic of UES.