8例胃肠道间质瘤的CT表现与临床病理分析  

CT Manifestations and Clinical Pathological Analysis of 8 Cases of Gastrointestinal Stromal Tumors

作　　者：贾振丽[1] 刘永杰 

机构地区：[1]山东青岛市黄岛区人民医院CT室,266400 [2]山东青岛市黄岛区第二中医医院,266400

出　　处：《中国继续医学教育》2016年第8期51-52,共2页China Continuing Medical Education

摘　　要：目的探讨胃肠道间质瘤的CT表现与临床病理特点。方法选取8例经过手术病理确诊为胃肠道间质瘤患者资料,并给予回顾性分析,研究其临床表现、CT表现及病理情况,分析CT检验的临床价值。结果胃肠道间质瘤多见于胃肠道、肠系膜及网膜。出现为梭形细胞或上皮样细胞肿瘤,伴干细胞生长因子受体阳性,并有胃肠道起搏细胞Cajal细胞的分化。结论胃肠道间质瘤是消化道最常见的原发性间叶源性肿瘤,与平滑肌源性肿瘤及神经源性肿瘤差异较大,形态学、遗传学及免疫表型特征明显。Objective To explore the CT features and pathological features of gastrointestinal stromal tumors. Methods Retrospective analyzed the data of 8 cases of gastrointestinal stromal tumor confirmed by surgery and pathology, studied the CT manifestations, clinical and pathological features and the value of CT in the diagnosis. Results Gastrointestinal stromal tumor happened mostly in gastrointestinal tract and omental, and appeared as spindle cells and epithelioid tumor cells, with positive expression of mesenteric stem cell growth factor receptor（KIT）, and there was differentiation of gastrointestinal stromal cells of Cajal（gastrointestinal pacemaker cells）. Conclusion Gastrointestinal stromal tumor in digestive tract is the most common primary gastrointestinal mesenchymal tumor, and it has large difference from smooth muscle tumor or neurogenic tumor, and has its own features of morphology, genetics and Immunophenotyping.

关 键 词：胃肠道间质瘤 临床 病理分析 

分 类 号：R36[医药卫生—病理学]