MDCT对回盲部肿瘤的诊断价值.docVIP

MDCT对回盲部肿瘤的诊断价值 　　摘要：目的： 探讨回盲部肿瘤的临床病理特点及MDCT 的诊断价值。方法： 回顾性分析 53 例回盲部病变的临床病理特点及MDCT 表现。结果： 腺癌 44 例，其中以盲肠腺癌为主者 31 例，阑尾腺癌为主 11例，多数病例 CT 表现为不规则肿块，密度不均伴坏死、中等强化，周围脂肪间隙有浸润; 阑尾黏液性囊腺瘤2例，CT表现为右髂窝长卵圆形囊性占位，囊壁厚薄尚均，内壁光整;可见颗粒状或弧形钙化，密度不均匀，边界清晰。炎性肌纤维母细胞瘤 1例，CT 表现为不规则软组织肿块，边缘毛糙，中等强化，密度较均匀;末端回肠淋巴瘤1例，CT表现为肠壁增厚、柔软，肠腔呈“动脉瘤样”扩张，轻中度强化;恶性胃肠间质瘤 2 例，CT 表现为圆形或类圆形肿块，边界相对较清，密度不均伴坏死，周边实性部分明显强化;转移瘤 3 例，CT 表现为软组织肿块，无特异性。结论：采用MDCT扫描，利用MPR、CPR 重组对回盲部肿瘤病变的诊断具有较高的价值。 　　关键词：回盲部;肿瘤;体层摄影术;X 线计算机;MDCT 　　Abstract：Objective：To evaluate the diagnostic value of multi-detector CT in common malignant tumor arising in the ileocecal area. 　　Methods：CT findings of using multi-detector CT on 53 patients with pathologically and surgically proven tumors arising in the ileocecal area were retrospectively analyzed. Results：There were 44 cases of adenocarcinoma，including cecal adenocarcinomas（31 cases），adenocarcinomas of the appendix （11 cases），most commonly CT features such as a irregular mass with uneven density with necrosis，demonstrated surrounding fat interspace infiltration，with moderate enhancement;two cases of appendiceal mucinous cystadenoma，CT features such as long ovoid cystic tumor in right iliac fossa with even and regular cystic wall，with granular and curved calcification，with uneven density，with defined boundary. one case of inflammatory myofibroblastic tumor， which the CT showed a irregular soft-tissue mass with unsmooth rim ，with moderate enhancement， with even density;one cases of lymphoma in the terminal ileum， which the CT featured as bowel wall thickening and softening，with intestinal cavity expansion like “Aneurismal dilatation”，with poor- moderate enhancement;two cases of malignant gastrointestinal stromal tumors，which the CT featured as relatively sharply marginated，round mass，with uneven density with necrosis ，enhancement usually involve only the rim; and three cases of metastatic tumor，which the CT showed a soft-tissue mass heterogeneous attenuation. 　　Conclusion： MDCT is a simple an