原发性胃淋巴瘤的CT 表现及误诊原因.docVIP

原发性胃淋巴瘤的CT表现及误诊原因 任小军，章士正，王丽华，金重午，浙江大学医学院附属邵逸夫医院放射科 浙江省杭州市 310016 第一作者简介：任小军，男，1971-12-12生，陕西省镇巴县人，汉族。2003年浙江大学医学院硕士，主治医师。主要从事腹部影像诊断研究。 作者贡献分布：此课题由任小军设计；研究过程由任小军，章士正，王丽华完成；章士正作内容审阅；部分图像收集由金重午完成；本论文写作由任小军完成。 通讯作者：任小军，310016，浙江省杭州市庆春东路3号，浙江大学医学院附属邵逸夫医院放射科。renxjun@163.com 电话：0571CT Findings and misdiagnosis causes of primary gastric lymphoma Xiao-Jun Ren, Shi-Zheng Zhang, Li-Hua Wang, Chong-Wu Jin, Department of Radiology, Sir Run-Run Shaw Hospital, Medical College, Zhejiang University, Hangzhou 310016, Zhejiang Province, China Correspondence to:Xiao-Jun Ren, Department of Radiology, Sir Run-Run Shaw Hospital, Medical College, Zhejiang University, 3 Qingchun Road, Hangzhou 310016, Zhejiang Province, China. renxjun@163.com [Abstract] AIM: To improve CT diagnose of primary gastric lymphoma. METHODS: The CT findings of 22 cases of primary gastric lymphoma and the causes of CT misdiagnosis of 13 cases were analyzed retrospectively. All cases were proved pathologically by gastroscopy or surgery. RESULTS: Two or three sites of gastric antrum, body and bottom were involved in 20 cases (90.9%), while only one site was involved in 2 cases (9.1%). The CT main findings included 21 cases（95.5%）of gastric mural thickening（5mm）with the thickness between 6mm～60mm, 1 case of multiple nodules, and accompanied with 2 cases of masses and 8 cases of multiple ulcers. The other findings included 16 cases of destruction of mucosal line with mural homogeneous enhancement and the mural thickness of 14 cases（87.5%）of were or more than 10mm，11 cases （84.6%）of intact mucosal line with mural stratified enhancement and the mural thickness were all less than 10mm, 5 cases(22.78%) of destruct mucosa with no stratified structure in the thicker wall whereas intact mucosal line with mural stratified enhancement in the thinner wall, and 15 cases(68.2%) of no apparent stenosis or being changeable of gastral cavity in three-phase CT scan. 11 cases were misdiagnosed as infiltrating