Внутрипеченочная холангиокарцинома

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.

внутрипеченочная холангиокарцинома, диагностика, компьютерная томография, магнитно-резонансная томография, диффузионно-взвешенная магнитно-резонансная томография

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