胃间质瘤的影像学检查评价.pdfVIP

安 徽 医 药 　A nhu iM ed ica l and P ha rm aceu tica l J ou rna l　2007 Nov; 11 ( 11) 10·11 · ◇临床医学 ◇ 胃间质瘤的影像学检查评价 彭 　湘 ,汪世存 (安徽省立医院放射科 ,安徽 合肥 　23000 1) 摘要 : 目的　探讨胃间质瘤的影像诊断价值 。方法 　搜集经手术及病理证实的胃间质瘤 20例进行回顾性分析 。结果 　良性 7 例 ,恶性 13例 。发生于胃体 9例 , 胃底 8例 , 胃窦 3例 。病灶呈类圆形 17例 ,不规则形 3例 ,最大径 1～18 cm ,平均 6. 4 cm 。良 性 7例 ,最大径 1～4. 2 cm ,恶性或潜在恶性 13例 ,最大径 2. 8～18 cm 。GI显示腔内充盈缺损 ,粘膜推移变平 ,并可见龛影 。CT 平扫肿块密度不均匀 ,增强呈中度不均匀强化 ,静脉期明显 。胃镜示粘膜隆起性病变 ,可见溃疡 。EU S表现为起源于固有肌层 的低回声团块 。结论 　EU S是诊断胃间质瘤的最准确方法 。多种影像学检查相结合 ,有助于胃间质瘤的定位和良恶性判断 。 关键词 : 胃间质瘤 ;体层摄影术 ; X线计算机 ;超声内镜 Evaluation of imaging method in the diagnosis of ga stric stromal tumors PEN G X iang,WAN G Sh i2cun (D ep a rtm en t of R ad iology, A nhu i P rovincia l H osp ita l, H ef ei 23000 1, Ch ina) ( ) A b stract:A im 　To evaluate the radiological diagno sis in ga stric strom al tumors GST . M ethed　The clin ical and radio logical data of 20 case s w ith GSTs were analyzed retro sp ectively. A ll cases were p roved by op eration and p athology. Results　7 cases were ben ign and 13 case s were m alignant. The tumors were located in corpu s gastricu s in 9 ca se s, cardiac portion in 8 case s, sinu s ventricu l in 3 ca se s. Round m a ss was found in 17 case s, wh ile the m a ss wa s lobu lated in the re st 3 case s. The diam eter of the tumors was 1～18 cm , 6. 4 cm in average. GI exam ination showed filling defect m a ss p re ss in the stom ach cavity, the local muco sal was de stroyed. CT scan showed tumors in2homogenou s in den sity or inten sity and moderate enhancem ent. F iberop ti