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胃肠道间质瘤的CT表现和恶性风险预测
引用本文:王光宪,赵建农,钟维佳.胃肠道间质瘤的CT表现和恶性风险预测[J].重庆医科大学学报,2010,35(1).
作者姓名:王光宪  赵建农  钟维佳
作者单位:重庆医科大学附属第二医院放射科,重庆,400010;重庆医科大学附属第二医院放射科,重庆,400010;重庆医科大学附属第二医院放射科,重庆,400010
摘    要:目的:探讨胃肠道间质瘤(Gastrointestinal stromal tumors,GISTS)的CT表现和肿瘤的恶性风险是否存在相关性.方法:回顾性分析我院经手术或活检病理和免疫组织化学证实的35例GISTS的CT资料.所有CT资料由两位有经验的放射科医师单独阅片,并最终达成一致意见.CT评价包括肿瘤的解剖部位,大小,轮廓,边界,生长方式,液化坏死,强化方式,强化程度,钙化,腹腔内的淋巴结,腹水,肠梗阻,以及邻近器官的侵犯和远处转移.结果:采用单变量分析,肿瘤的大小,轮廓,生长方式,液化坏死,强化方式及强化程度具有统计学意义(p<0.05);采用多变量逐步Logistic回归分析,只有肿瘤的大小具有恶性风险预测的统计学意义(P=0.033<0.05).结论:GISTS的CT表现具有一定的特异性,只有肿瘤的大小具有预测恶性风险价值.

关 键 词:胃肠道间质瘤  CT  胃肠道  风险预测

CT features of gastrointestinal stromal tumors and prediction of malignant risk from CT features
WANG Guang-xian,et al.CT features of gastrointestinal stromal tumors and prediction of malignant risk from CT features[J].Journal of Chongqing Medical University,2010,35(1).
Authors:WANG Guang-xian  
Institution:WANG Guang-xian,et al(Department of Radiology,the Second Affiliated Hospital,Chongqing Medical university)
Abstract:Objective:To analyze the CT features of gastrointestinal stromaltumors(GISTS)and prediction of malignant risk from CT features.Methods:The medical records of35 patients with pathologicaly and immunohistochemically proven GISTS by surgery or biopsy at our institution were reviewed.Two radiologists retrospectively reviewed the CT findings,and the final interpretations were reached by consensus.Images were assessed for tumors'anatomic site,size,contour,border,growth pattern,necrosis,enhancement pattern,degree ...
Keywords:CT  Gastrointestinal stromal tumors  CT  Gastrointestinal tract  Risk prediction
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