64层CT对胃恶性肿瘤鉴别诊断价值  

The Differential Diagnostic Value of Malignant Gastric Tumor by 64-slice Spiral CT

作　　者：尤涛 涂蓉[2] 尤晓光 YOU Tao;TU Rong;YOU Xiao-guang(Department of Oncology,Jihua General Hospital,Jilin 132001,Jilin Province,China)

机构地区：[1]吉化集团总医院肿瘤科,吉林吉林132001 [2]海南医学院第一附属医院放射科,海南海口570102

出　　处：《中国CT和MRI杂志》2018年第7期127-128,132,共3页Chinese Journal of CT and MRI

摘　　要：目的评价64层CT对胃癌、淋巴瘤、恶性间质瘤的鉴别诊断价值。方法回顾分析并比较36例经手术病理证实的胃恶性肿瘤患者CT影像表现,其中胃癌、淋巴瘤、恶性间质瘤各12例,分析各自特异性影像表现。结果胃癌黏膜浸润较淋巴瘤及恶性间质瘤多,恶性间质瘤肿瘤直径较大,淋巴瘤呈轻度强化,而胃癌及恶性间质瘤呈均匀或不均匀明显强化,淋巴瘤腹腔肿大淋巴结最多,胃癌次之,恶性间质瘤最少。结论 64层CT对胃癌、淋巴瘤、恶性间质瘤鉴别诊断有较高的价值。Objective To evaluate the differential diagnosis value of gastric cancer, gastric lymphoma, gastric malignant stromal tumor by 64-slice spiral CT. Methods A total of36 patients with malignant gastric tumor which confirmed by operation and pathology including 12 cases of gastric cancer, 12 cases of lymphoma, 12 cases of malignant stromal tumor were analyzed retrospectively in order to explore their own specific image representation. Results Gastric mucosal infiltration is more than lymphoma and malignant stromal tumor., malignant stromal tumors were larger in diameter, lymphomas showed mild enhancement, while gastric cancer and malignant stromal tumors showed homogeneous or heterogeneous enhancement. The lymphomas of the abdominal cavity were the largest, followed by gastric cancer and the least of malignant stromal tumors.. Conclusion The 64 slice CT is of high value in the differential diagnosis of gastric cancer, lymphoma and malignant stromal tumors.

关 键 词：胃癌 胃淋巴瘤 胃恶性间质瘤 CT 

分 类 号：R814.4[医药卫生—影像医学与核医学]