涂长苹1 樊世富1 李然2 陈镜2 陈蓉2.腹壁肿瘤及瘤样病变的CT 诊断(附44 例报道)[J].现代生物医学进展英文版,2012,12(16):3133-3137. |
腹壁肿瘤及瘤样病变的CT 诊断(附44 例报道) |
CT Diagnosis of Tumors or Tumor-like Lesions of Abdominal Wall(Report of 44 Cases) |
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DOI: |
中文关键词: 腹壁 肿瘤 影像学 X 线计算机 |
英文关键词: Abdominal wall Tumor Tmaging Computer |
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中文摘要: |
目的:分析腹壁肿瘤及瘤样病变的CT 表现,旨在提高医师对腹壁肿瘤及瘤样病变的认识,并评价CT 在腹壁肿瘤诊断及鉴
别诊断中的价值。方法:回顾性分析44 例经病理证实的腹壁肿瘤及肿瘤样病变的CT 表现,并与病理结果对照。结果:(1)CT 扫描
对腹壁肿瘤及瘤样病变的定位诊断率达到100%(44/44),定性诊断率约84.1%(37/44)。(2)良恶性病变在边界清晰与否、大小等方
面并没有差异,边界不清的29 例病例中,14 例为良性,15 例为恶性。(3)腹壁病变呈较高密度影者均为良性(7/7),血管源性多见。
(4)血管瘤、纤维肉瘤、韧带样纤维瘤亦为渐进性强化,腹壁脓肿、结核为环状强化,转移瘤为不均匀强化。结论:CT 是目前诊断腹
壁肿瘤及肿瘤样病变的主要手段,能较准确定位病变,但对病变定性仍有一定的困难,最终需要病理证实。 |
英文摘要: |
Objective: To study the imaging findings of tumors and tumor-like lesions of abdominal wall in order to evaluate the
role of CT in diagnosis of it. Methods: Analyze the clinical presentations and imaging presentation in 44 cases with review of the
literature, and contrast it with the Pathological findings. Results: (1) The niveau diagnosis ratio of CT to the tumors and tumor-like lesions
of abdominal wall reach 100%, and qualitation diagnosis ratio is 84.1% . (2) There is no discrepancy between benign and malignant
disease in the size and the boundary. There are 29 ill-defined cases, 14 cases are benign, 15 cases are malignant. (3) All the high density
lesions in the abdominal wall are benign (7/7).(4)Angeioma and desmoid tumor manifest gradual enhancement, mural abscess and
tuberculosis manifest crico-enhancement, so malignant tumor such as fibrosarcoma and metastatic tumor manifest uneven enhancement.
Conclusion: CT plays an important role in the diagnosis, staging and curative effect inspecting of tumors and tumor-like lesions of
abdominal wall, but it is difficult to qualitation, so the pathological findings is the extreme diagnosis. |
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