中国医学影像技术
中國醫學影像技術
중국의학영상기술
CHINESE JOURNAL OF MEDICAL IMAGING TECHNOLOGY
2010年
2期
294-296
,共3页
潘金万%梁长虹%阙松林%张水兴
潘金萬%樑長虹%闕鬆林%張水興
반금만%량장홍%궐송림%장수흥
胃%淋巴瘤%体层摄影术,X线计算机
胃%淋巴瘤%體層攝影術,X線計算機
위%림파류%체층섭영술,X선계산궤
Stomach%Lymphoma%Tomography,X-ray computed
目的 探讨原发性胃淋巴瘤的CT表现特征.方法 回顾性分析经病理确诊的21例原发性胃淋巴瘤患者的CT表现,观察病变部位、范围、胃壁厚度、强化程度、胃腔、黏膜及浆膜改变特征、胃周淋巴结及其他器官侵犯特点.结果 本组21例原发性胃淋巴瘤患者均为非霍奇金淋巴瘤;19例为多发病灶,2例为单发病灶.CT表现为胃壁不均匀增厚(8 ～62 mm),其中弥漫性增厚10例,节段性增厚9例,局限性增厚2例;19例呈均匀强化,2例内见片状低密度坏死;12例胃壁黏膜线完整,9例黏膜破坏;胃壁浆膜面模糊2例,浆膜面清晰19例;12例胃腔无明显狭窄;6例胃周淋巴结肿大,未发现肝脏侵犯.结论 原发性胃淋巴瘤的CT表现具有一定的特征性;多排螺旋CT对诊断和鉴别诊断具有重要临床意义.
目的 探討原髮性胃淋巴瘤的CT錶現特徵.方法 迴顧性分析經病理確診的21例原髮性胃淋巴瘤患者的CT錶現,觀察病變部位、範圍、胃壁厚度、彊化程度、胃腔、黏膜及漿膜改變特徵、胃週淋巴結及其他器官侵犯特點.結果 本組21例原髮性胃淋巴瘤患者均為非霍奇金淋巴瘤;19例為多髮病竈,2例為單髮病竈.CT錶現為胃壁不均勻增厚(8 ～62 mm),其中瀰漫性增厚10例,節段性增厚9例,跼限性增厚2例;19例呈均勻彊化,2例內見片狀低密度壞死;12例胃壁黏膜線完整,9例黏膜破壞;胃壁漿膜麵模糊2例,漿膜麵清晰19例;12例胃腔無明顯狹窄;6例胃週淋巴結腫大,未髮現肝髒侵犯.結論 原髮性胃淋巴瘤的CT錶現具有一定的特徵性;多排螺鏇CT對診斷和鑒彆診斷具有重要臨床意義.
목적 탐토원발성위림파류적CT표현특정.방법 회고성분석경병리학진적21례원발성위림파류환자적CT표현,관찰병변부위、범위、위벽후도、강화정도、위강、점막급장막개변특정、위주림파결급기타기관침범특점.결과 본조21례원발성위림파류환자균위비곽기금림파류;19례위다발병조,2례위단발병조.CT표현위위벽불균균증후(8 ～62 mm),기중미만성증후10례,절단성증후9례,국한성증후2례;19례정균균강화,2례내견편상저밀도배사;12례위벽점막선완정,9례점막파배;위벽장막면모호2례,장막면청석19례;12례위강무명현협착;6례위주림파결종대,미발현간장침범.결론 원발성위림파류적CT표현구유일정적특정성;다배라선CT대진단화감별진단구유중요림상의의.
Objective To observe the multi-detector spiral CT manifestations of primary gastric lymphoma. Methods Multi-detector spiral CT findings of 21 patients with pathologically confirmed primary gastric lymphoma were retrospectively analyzed, the lesions' site, extent, thickness of gastric wall, the enhancement pattern, the situation of gastral cavity and gastric mucosa, and the encroachment of perigastric lymph nodes and other organs were observed. Results Tumors in all 21 patients were non-Hodgkin lymphoma. Multiple lesions were found in 19 patients, while single lesion was detected in 2 patients. CT demonstrated irregular thickening of the gastric wall (8-62 mm) in all 21 patients, including diffuse thickening (n=10), segmental thickening (n=9) and local thickening (n=2). Homogeneous enhancements were found in 19 patients, and lamellar inhomogeneous necrosis were found in 2 patients. Intact mucosal lines were found in 12, and destructed mucosal line in 9 patients, while obscure serous membranes were found in 2, and distinct serous membrane in 19 patients. The stomach showed distensible without significant narrow in 12 patients. The enlargement of perigastric lymph nodes were found in 6 patients. No hepatic encroachment was found. Conclusion Multi-detector spiral CT manifestations of primary gastric lymphoma are relatively specific, and multi-detector spiral CT shows high value for the diagnosis of the disease.
