原发性肠系膜肿瘤的CT诊断.pdfVIP

放射学实践 2008年1月第23卷第 1期 Radiol Practice，Jan 2008，Vol 23，No．1 37 · 腹部影像学 · 原发性肠系膜肿瘤的CT诊断 李小荣，欧陕兴，钱民，刘海凌，罗道首 【摘要】 目的：分析原发性肠系膜肿瘤(PMT)的CT表现，探讨CT对其定位及定性诊断的价值。方法：对13例经病 理证实原发性肠系膜肿瘤的CT及临床资料进行回顾分析。结果：13例原发性肠系膜肿瘤中4例良性，其余均为恶性；位 于小肠系膜 1O例 ，结肠系膜 3例，肿瘤直径6．4～13．0 cm (平均9．5 cm)；纤维瘤 2例，平滑肌肉瘤 2例，间质瘤4例，淋巴 瘤2例，脂肪肉瘤2例，恶性纤维组织细胞瘤1例。结论：PMT CT表现缺乏特异性。CT对体积相对较小的PMT有较高 的定位价值，对体积巨大肿瘤定位有一定困难，可较准确判断PMT的良恶性。 【关键词】 肠系膜；腹部肿瘤；体层摄影术，X线计算机；诊断，鉴别 【中图分类号1 R735．4；R814．42 【文献标识码】A 【文章编号】1000—0313(2008)01—0037—04 CT Diagnosis of Primary Mesentery Tumor LI Xiao-rong，OU Shan-xing，QIAN Min，et a1．Department of Radiology， Guangzhou Military Region General Hospital，Guangzhou 510010，P．R．China [Abstract] Objective：To analyze CT features of primary mesentery tumor，tO evaluate CT in localizing and qualitative diagnosis of the disease．Methods：The imaging data of 1 3 patients with primary mesentery tumor，different in type，proved by operation and pathology were retrospectively analyzed．9 cases of the 1 3 were malignant，and 4 were benign．1 0 cases were originated from mesentery，3 from mesocolon．The size of tumors ranged from 6．4era tO 13cm (averaged 9．5cm)in di— ameter．The lesions included fibroma(n=2)，lymphangioma(n一2)，gastrointestinal stromal tumors(n一 4)，lymphoma (n一2)，leiomyosarcoma(n一2)，and malignant fibrous histiocytoma(n：1)．Conclusion：Primary mesenteric tumors have a variety of types．CT is of great value in localizing diagnosis of primary mesenteric tumors small in size comparatively．But it might be somehow difficult in localizing large mass．CT is reliable in differentiating benign from malignant ones，although it is difficult tO determine its histological origin in most cases． [Key words] Mesentery；Abdominal neoplasms；Tomography，X-ray computed；Diagnosis，differential 原发性肠系膜肿瘤(primary mesentery tumor，