原发性胃淋巴瘤的多层螺旋CT诊断价值 |
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引用本文: | 陈云涛,朱丹,谢晓红,彭涛. 原发性胃淋巴瘤的多层螺旋CT诊断价值[J]. 四川医学, 2010, 31(12): 1860-1862 |
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作者姓名: | 陈云涛 朱丹 谢晓红 彭涛 |
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作者单位: | 成都大学附属医院放射科,四川成都610081 |
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摘 要: | 目的探讨原发性胃淋巴瘤的多层螺旋CT表现特征及诊断价值。方法对11例经病理证实的原发性胃淋巴瘤患者的多层螺旋CT及临床资料进行回顾分析。结果 11例均为B细胞起源非霍奇金淋巴瘤。原发性胃淋巴瘤按CT表现分为弥漫增厚型、节段增厚型、局限增厚型及混合型,CT表现特征主要有:①多灶分布和广泛、显著胃壁增厚;②病变沿长轴侵犯有一定柔软度,胃腔无明显变形;③病变区胃浆膜面多清楚,胃周脂肪无明显受侵;④胃粘膜广泛粗大伴多发的浅溃疡。结论原发性胃淋巴瘤的多层螺旋CT表现特征对诊断和鉴别诊断有一定价值。
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关 键 词: | 胃 淋巴瘤 多层螺旋CT |
Discussing the application of multi-slice CT in diagnosing primary gastric lymphoma |
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Affiliation: | CHEN Yun-tao,ZHU Dan,XIE Xiao-hong,et al.The Affiliated Hospital of Chengdu University ,Chengdu ,Sichuan 610081,China |
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Abstract: | Objective To discuss the primary gastric lymphoma′s manifestation characteristic of multi-slicel CT and its diagnosing value.Methods The diagnosing reports of multi-slice CT and clinic data of 11 cases of patho-verified primary gastric lymphoma were retrospectively analyzed.Results All the cases were B-cell originating Non-Hodgkin′s Lymphoma.According to the CT manifestation,these cases can be divided into four types as diffuse thickening,segmental thickening,regional thickening and mixed type.The characteristic of CT manifestations was as follows:①Mulifocality distribution with extensive and significant thickening gastric wall;②Smooth pathological changes invaded along prolate axis without evident deformation in gastral cavity;③Clear serosa surface in pathological area without significant invasion in perigastric fat;④Mucosa enlargement with multiple exulceratio simplex.Conclusion Multi-slice CT has significant value in diagnosis differential diagnosis of primary gastric lymphoma. |
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Keywords: | stomach lymphoma multi-slice CT |
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