- 골전이 간세포암의 방사선학적 소견
- ㆍ 저자명
- 김형석
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1992년|28권 3호|pp.424-428 (5 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
To find any specific radiologic findings of skeletal metastases from hepatocellular carcinoma, we analyzed plain radiographs (n=25), CT (n=16) and MRI (n=5) of 25 patients with metastatic bony lesions from hepatocellular carcinoma. Vertebrae(17/25) and rids (16/25) were most frequently involved and 16 cases showed multiple metastases. The size of the lesions was larger than 5cmin 17 cases. Plain radiographs shjowed osteolytic destruction (25/25), cortical destruction (20/25), soft tissue mass(7/25), pathologic fracture(2/25), and periosteal reaction(2/25). CT(n=16) showed osteolytic destruction with an isodense expansile mass in all cases. Focal low attenuations suggesting necrosis were found in 2 cases. Calcification within the mass was not detected. MRI(n=5) showed a slight hyperintense area on T1WI and a definite hyperintense mass on T2WI. After gadopentetate dimeglumine enhancement, the mass showed irregular enhancement. We concluded that skeletal metastatic lesions from h patocellular carcinoma showed relatively large osteolytic destruction accompanying soft tissue mass and minimum central necrosis.