原发性胃淋巴瘤气钡造影X线及螺旋CT表现  

Imaging features of X-ray and multi.slice helical CT for primary gastric lymphoma

作　　者：袁林秀 潘瑞卿 

机构地区：[1]山西省汾阳医院放射科,032200

出　　处：《肿瘤研究与临床》2013年第4期263-264,268,共3页Cancer Research and Clinic

摘　　要：目的探讨原发性胃淋巴瘤上消化道造影X线及螺旋CT的表现特征，以提高对其诊断的准确率。方法回顾分析经手术及病理确诊的24例原发性胃淋巴瘤患者的临床资料、螺旋CT及上消化道造影表现，总结其特点。结果24例患者均为B细胞起源的非霍奇金淋巴瘤。螺旋CT主要表现为多灶分布，密度均匀，均匀强化，胃壁广泛显著增厚但柔软，胃周多区淋巴结肿大。上消化道造影表现为病灶多样、复杂，多发或单发结节，多发浅表溃疡，胃壁弥漫性增厚但胃壁蠕动存在且胃腔无缩小。结论原发性胃淋巴瘤螺旋CT及上消化道造影表现具有一定的特征，对原发性胃淋巴瘤的诊断及鉴别具有重要意义。Objective To investigate the features of multi-slice helical CT and upper gastrointestinal manifestations for primary gastric lymphoma in order to improve diagnostic accuracy. Methods Data from 24 patients with pathologically confirmed primary gastric lymphoma and applied multi-slice helical CT and upper gastrointestinal findings were retrospectively analyzed. Their characteristics were summarized. Results All 24 patients were B cell originating of non-Hodgkin＇s lymphoma. The characteristics of multi-slice helical CT manifestations were as follows： multiple lesions, equal density, homogeneous enhancement, thickening widely of the stomach wall hut soft, perigastric lymph nodes enlargement. Upper gastrointestinal performance： lesions varied, complex, multiple or single nodules, multiple superficial ulcers, gastric wall thicken diffusely but having squirm and stomach cavity without narrowing. Conclusion There are some specific characteristics in multi-slice helical CT and upper gastrointestinal of primary gastric lymphoma and in might be importance for diagnosis and differential diagnosis.

关 键 词：胃肿瘤 淋巴瘤 体层摄影术 螺旋计算机 上消化道造影 

分 类 号：R735[医药卫生—肿瘤] R730[医药卫生—临床医学]