64排容积CT对腹膜后原发精原细胞瘤的诊断及鉴别诊断  

Diagnosis and differention diagnosis of primary seminoma retro peritioneal by using 64-row VCT

作　　者：庞亚卿 郭建平 朱杏莉[1] 

机构地区：[1]中国人民解放军第150中心医院MRI室,洛阳471031

出　　处：《实用医学影像杂志》2017年第6期498-499,共2页Journal of Practical Medical Imaging

摘　　要：目的探讨64排容积CT(VCT)对腹膜后原发精原细胞瘤的诊断价值。方法回顾分析在64排VCT引导下穿刺活检,经病理证实腹膜后原发精原细胞瘤10例影像资料,并分析其CT表现。结果 10例中,有6例表现为腹膜后肿块并包绕腹主动脉、肾动脉,增强后轻度强化,4例腹膜后肿块推移邻近血管和器官,包膜完整,中线侧坏死,内有条状分隔。结论腹膜后原发精原细胞瘤的CT表现相对有特征性,对放化疗敏感,但最后诊断需依据病理证实。Objective To study the diagnosis value of 6 4 -row VCT for primary retroperitoneal seminoma. Methods Review the imagings of 10 primary retroperitoneal seminoma patients with pathologically proved guided by 64-row VCT. Results Six patients was retroperitioneal parenchyma tumor which surounded abdomens aorta and renal artery, slight enhancement after enhaced scan. Tumors of 4 patients had intact capsule and showed necrosis and slim septae. Conclusion CT manifestation of primary retroperitioneal seminoma was characteristic and was sensitive to radiotherapy and themotherapy. The final diagnosis should relied on pathology.

关 键 词：腹膜后肿瘤 精原细胞瘤 化放疗 

分 类 号：R730.44[医药卫生—肿瘤] R735.4[医药卫生—临床医学]