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胃平滑肌瘤的MSCT表现
引用本文:舒俊,张劲松,唐永强,孟小丽,袁怀平.胃平滑肌瘤的MSCT表现[J].中国CT和MRI杂志,2017(9):115-118.
作者姓名:舒俊  张劲松  唐永强  孟小丽  袁怀平
作者单位:1. 第四军医大学附属西京医院放射科 陕西 西安 710032;2. 陕西中医药大学医学技术学院 陕西 咸阳 712099
摘    要:目的探讨胃平滑肌瘤(Gastric Leiomyoma)的CT特征。方法回顾性分析经手术病理证实、长径≥1cm的26例胃平滑肌瘤的CT资料。结果 26例胃平滑肌瘤中,24例位于贲门且累及胃食管连接部(esophagogastric junction,EGJ),2例位于胃体。22例呈腔内生长,1例腔外生长,3例呈腔内外生长。22例瘤体长径与胃壁平行。20例形态规则,6例形态不规则。26例瘤体密度均匀,增强扫描均呈轻度均匀强化。结论直径大于1cm的胃平滑肌瘤多位于贲门且累及EGJ,沿胃壁生长,密度均匀,增强扫描轻度均匀强化。

关 键 词:胃平滑肌瘤  体层摄影术  X线计算机

MSCT Findings of Gastric Leiomyoma
Abstract:Objective To investigate the CT findings of gastric leiomyoma. Methods Retrospective analysis for CT data was carried out in 26 patients with gastric leiomyoma (long diameter≥1cm) that was confirmed by surgical pathology. Results Among 26 cases of gastric leiomyoma, the tumor in 24 cases was located at cardia with esophagogastric junction (EGJ) involvement, 2 at gastric body.The tumor showed endo-luminal growth in 22 cases, extra-luminal growth in 1 cases and duplex growth in 3 cases. The long diameter was parallel to the gastric wall in 22 cases. the shape of tumor was regular in 20 cases and irregular in 6 cases. The density of tumor was homogeneous in 26 cases, all showing slightly homogeneous enhancement in the enhancement scan. Conclusion Most gastric leiomyoma with diameter>1 cm was located at cardia and involved the EGJ, cling-to-wall growth with homogeneous density,the enhancement scan showed slightly homogeneous enhancement.
Keywords:Gastric Leiomyoma  Tomography  X-ray Computed
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