CAJ | 학술논문

回顾性分析11例播散性腹膜黏液腺病患者的CT资料,11例患者中有9例显示为弥漫性凝胶状腹水,2例显示为局限性囊性肿块.9例弥漫性病例中5例伴腹腔多发囊性结节或肿块影,5例伴大网膜或肠系膜网状浸润.11例患者中6例出现肝脏或脾脏扇形压迹,5例出现肝脏或脾脏实质浸润,5例于囊性结节或肿块内出现弧线状、结节状钙化.6例女性患者中3例有卵巢黏液性囊腺瘤.所有病例均未见腹腔及腹膜后淋巴结肿大,未见网膜饼征象.提示播散性腹膜黏液腺病具备特征性CT征象.
회고성분석11례파산성복막점액선병환자적CT자료,11례환자중유9례현시위미만성응효상복수,2례현시위국한성낭성종괴.9례미만성병례중5례반복강다발낭성결절혹종괴영,5례반대망막혹장계막망상침윤.11례환자중6례출현간장혹비장선형압적,5례출현간장혹비장실질침윤,5례우낭성결절혹종괴내출현호선상、결절상개화.6례녀성환자중3례유란소점액성낭선류.소유병례균미견복강급복막후림파결종대,미견망막병정상.제시파산성복막점액선병구비특정성CT정상.
Clinical data and manifestations on muhi-slice spiral CT (MSCT) of 11 patients with disseminated peritoneal adenomucinosis (DPAM) were retrospectively reviewed.The CT manifestations were also compared with surgical and histopathological findings.MSCT findings showed a large amount of gel-like ascites in 9 cases and local cystic masses in 2 cases.Among 9 cases with a large amount ascites,abdominal multiple cystic masses were shown in 5 case,and infiltration of the greater omentum and mesentery in 5 cases.Hepatic scalloping was found in 6 cases ; parenchymal invasion of the liver or spleen were showed in 5 cases; calcification of the cystic masses in 5 cases.Ovary mueinous cystadenoma was presented in 3 female patients.Enlarged lymph nodes and omental cake were not found in all cases.The results indicate that the characteristic MSCT manifestations of DPAM include diffuse gel-like ascites,multiple cystic masses with or without calcification,hepatic scalloping and parenchyma invasion.