螺旋CT分析胃间质瘤的生长方式与病理及预后的关系  

Spiral CT Analysis for Correlation of Growth Pattern with Pathology and Prognosis in Gastric Stromal Tumors

作　　者：孙勇[1] 高剑波[2] 温平贵 杜秀琴[1] 杨敏[1] 

机构地区：[1]河南省周口市中心医院放射科,河南周口466000 [2]郑州大学第一附属医院放射科

出　　处：《实用放射学杂志》2008年第11期1496-1498,共3页Journal of Practical Radiology

基　　金：河南省杰出青年计划项目(编号:084100510020)

摘　　要：目的探讨螺旋CT分析胃间质瘤(GST)的生长方式与病理及预后的关系。方法对43例能完全切除的GST患者的CT资料和病理切片(含免疫组织化学检查)重新复核并进行随访,分析原发肿瘤的生长方式与病理及预后的关系。结果43例胃间质瘤中,良性9例,恶性34例。对比分析表明,GST的良恶性与生长方式关系密切,17例既向腔内生长又向腔外生长的GST患者中,16例病理证实为恶性,有5例在3年内复发。结论呈现腔内/外生长的GST提示预后不良。Objective To evaluate the value of spiral CT in analyzing correlation of growth pattern with pathology and prognosis in gastric stromal tumor（ GST）. Methods CT findings and pathological data including immunohistochemical staining sections of 43 patients with GST were reviewed and all patients were followed. The correlation between growth pattern, pathology and prognosis was studied. Results Of the 43 GST, there were benign in 9 and malignant in 34. the benign or malignant GST closely correlated with the growth pattern. Of the 17 intra - and extra - luminal growth patients, 16 cases were malignant and 5 cases recurred in 3 years. Conclusion The GSTs that appear intra - and extra - luminal gowth hint the poor prognosis.

关 键 词：胃 间质瘤 病理 预后 体层摄影术 X线计算机 

分 类 号：R735.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]