rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-1-52-63rentrad-8Research ArticleОБЗОРЫREVIEWSВнутрипеченочная холангиокарциномаIntrahepatic cholangiocarcinomaЛукьянченкоА. Б.Luk’yanchenkoA. B.

д. м. н., профессор, вед. науч. сотр. отдела лучевой диагностики и интервенционной радиологии

MD, PhD, DSc, Professor, Leading Researcher of Department of Radiation Diagnosis and Interventional Radiology;

МедведеваБ. М.MedvedevaB. M.

к. м. н., ст. науч. сотр. отдела лучевой диагностики и интервенционной радиологии;

MD, PhD, Senior Researcher of Department of Radiation Diagnosis and Interventional Radiology;

ШабановМ. А.ShabanovM. A.

д. м. н., профессор, вед. науч. сотр. патологоанатомического отделения

MD, PhD, DSc, Professor, Leading Researcher of Pathology Department

ВиршкеЭ. Р.VirshkeE. R.

д. м. н., вед. науч. сотр. отдела лучевой диагностики и интервенционной радиологии

MD, PhD, DSc, Leading Researcher of Department of Radiation Diagnosis and Interventional Radiology

БредерВ. В.BrederV. V.

к. м. н., ст. науч. сотр. хирургического отделения клинических биотехнологий

MD, PhD, Senior Researcher of Surgical Department of Clinical Biotechnology;

РомановаК. А.RomanovaK. A.

аспирант

Postgraduate

ФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина»РоссияN.N. Blokhin Russian Cancer Research CenterRussian Federation201527022016015263Copyright © Лукьянченко А.Б., Медведева Б.М., Шабанов М.А., Виршке Э.Р., Бредер В.В., Романова К.А., 20162016Лукьянченко А.Б., Медведева Б.М., Шабанов М.А., Виршке Э.Р., Бредер В.В., Романова К.А.Luk’yanchenko A.B., Medvedeva B.M., Shabanov M.A., Virshke E.R., Breder V.V., Romanova K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/8

Представлены сведения о современных подходах к диагностике и лечению внутрипеченочной холангиокарциномы (ВПХ), о ее микро- и макроскопических разновидностях. Подробно описаны особенности отображения ВПХ при ультразвуковом исследовании, компьютерной томографии и магнитно-резонансной томографии (в том числе диффузионно-взвешенной). Подчеркивается исключительно важная роль применения динамического внутривенного контрастирования и анализа особенностей гемодинамики в опухоли в различные фазы исследования (артериальная, венозная и отсроченная). Наиболее частым вариантом отображения ВПХ считается диффузное гетерогенное усиление всего объема опухоли в артериальную фазу с выраженным периферическим и прогрессирующим центростремительным усилением в последующие фазы, что позволяет уверенно распознавать это сравнительно редкое новообразование.

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The authors declare that there are no conflicts of interest present.