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胃肠道间质瘤的影像学表现及诊断
引用本文:王勤,王欢欢,张淮民.胃肠道间质瘤的影像学表现及诊断[J].中国基层医药,2011,18(23):3171-3172,I0003.
作者姓名:王勤  王欢欢  张淮民
作者单位:1. 安徽理工大学附属淮南东方医院集团总医院放射科,安徽省淮南,232001
2. 厦门大学附属中山医院消化内科
3. 安徽理工大学附属淮南东方医院集团总医院消化内科,安徽省淮南,232001
摘    要:目的探讨胃肠道间质瘤(GIST)的影像学表现、病理学特点及诊断方法。方法回顾性分析14例经手术及病理证实的GIST患者临床、病理及影像学资料。结果14例GIST均为单发,位于胃10例,小肠4例。肿瘤多为圆形、类圆形,少数为分叶状不规则形。免疫组化检查:CD117(+)12例,CD34(+)9例。结论影像学检查对GIST的诊断及定位有重要价值,但最后确诊有赖于病理组织学检查。

关 键 词:胃肠道间质肿瘤  体层摄影术  X线计算机  血管造影术  数字减影  活组织检查

Imaging features and diagnostic analysis of gastrointestinal stromal tumors
WANG Qin,WANG Huan-huan,ZHANG Huai-min.Imaging features and diagnostic analysis of gastrointestinal stromal tumors[J].Chinese Journal of Primary Medicine and Pharmacy,2011,18(23):3171-3172,I0003.
Authors:WANG Qin  WANG Huan-huan  ZHANG Huai-min
Institution:WANG Qin , WANG Huan-huan,ZHANG Hnai-min. Department of Radiology, The General Hospital of Huainan Eastern Hospital Group Affiliated to Anhui Science and Techology University ,Huainan ,Anhui 232001, China
Abstract:Objective To evaluate the imaging features,pathologic characteristics and diagnostic methods of gastrointestinal stromal tumor(GIST).Methods A retrospective study was performed to analyze the clinical pathological and imaging data of 14 GIST patients diagnosed by surgery and pathology.Results 14 cases of GIST were all solitary.10 cases were located in stomach and 4 cases in small intestine.Tumors were mostly round or oval,and a few of them were irregular lobulated.Immunohistochemistry analysis:12 cases were CDll7 positive and 9 cases were CD34 positive.Conclusion The imaging examination was important to the diagnosis and localization of GIST,but the final diagnosis of GIST depended on histopathological and immunohistochemical examination.
Keywords:Gastrointestinal stromal tumors  Tomograpby  X-ray computed  Angiograpby  digltal subtraction  Biopsy
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