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胃肠道间质瘤影像学表现分析
引用本文:李智慧,邹媛,翟昭华,谢贤镛,但汉彬,黄琴莉.胃肠道间质瘤影像学表现分析[J].医学综述,2010,16(1).
作者姓名:李智慧  邹媛  翟昭华  谢贤镛  但汉彬  黄琴莉
作者单位:1. 川北医学院基础医学院病理学学生科研小组
2. 川北医学院附属医院放射科
3. 川北医学院病理学教研室,四川,南充,637000
基金项目:川北医学院大学生科创基金支助项目 
摘    要:目的探讨胃肠道间质瘤(GIST)的临床表现及影像学检查的诊断价值。方法对56例经病理证实的GIST的临床及影像资料进行回顾性分析。结果56例GIST患者中发生于胃27例,小肠11例,其他部位18例。肿块平均直径7.9cm,腔外生长者24例,腔内生长者16例。胃肠道钡餐造影表现(16例):腔内充盈缺损,局部黏膜展平,胃、肠腔被推挤,可见黏膜破坏,蠕动消失。CT9例,肿块密度均匀1例,不均匀8例。增强后均匀强化2例,不均匀强化7例。MRI4例,肿块T1WI呈均匀低信号1例,3例不均匀低信号;T2WI肿块呈高信号。结论GIST影像学表现有一定的特征性,在胃肠钡餐造影上以消化道腔外肿块为主,CT和MRI在GIST诊断中起重要作用。

关 键 词:胃肠间质瘤  临床表现  体层摄影术  X线计算机  磁共振成像

Analysis on Imaging Findings of Gastrointestinal Stromal Tumor
LI Zhi-hui,ZOU Yuan,ZHAI Zhao-hua,XIE Xian-yong,DAN Han-bin,HUANG Qin-li.Analysis on Imaging Findings of Gastrointestinal Stromal Tumor[J].Medical Recapitulate,2010,16(1).
Authors:LI Zhi-hui  ZOU Yuan  ZHAI Zhao-hua  XIE Xian-yong  DAN Han-bin  HUANG Qin-li
Institution:LI Zhi-hui1,ZOU Yuan1,ZHAI Zhao-hua2,XIE Xian-yong3,DAN Han-bin1,HUANG Qin-li1.(1.Medical Undergraduate Teams of Science & Research of Pathology,the North Sichuan Medical College,2.Department of Radiology,the Affiliated Hospital of North Sichuan Medical College,3.Department of Pathology of the North Sichuan Medical College,Nanchong 637000,China)
Abstract:Objective To evaluate the clinical behavior and the value of imaging findings of gastrointestinal stromal tumors(GIST).Methods The image findings and clinical date of 56 cases with GIST prored by pathology were retrospectively analyzed.Results The tumors originated from the stomach(n=27),intestine(n=11)and extragastrointestinal(n=18).The tumor size was 7.9cm.There were 24 exophytic growth tumor and 16 introphytic growth.The findings of barium meal examination in 16 cases showed filling defect and mass press...
Keywords:Gastrointestinal stromal tumors  Clinical behavior  Tomography  X-ray computed  Magnetic resonance imaging  
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