MSCT诊断胃神经鞘瘤5例分析并文献复习
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MSCT diagnosis of gastric schwannoma:analysis of five cases and literature review
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    摘要:

    目的:探讨胃神经鞘瘤(gastric schwannoma,GS)的CT影像特征及其与病理表现的相关性。方法:总结5例经病理证实为GS患者的完整临床及CT影像资料,并分析2010至2020年国内外报道的151例GS患者临床及CT影像特征。结果:5例均为单发性肿块,3例肿瘤位于胃体,1例肿瘤位于胃角,1例肿瘤位于胃窦。5例均为膨胀性生长,其中外生型1例、混合生长型4例。肿瘤最大径21~60 mm。平扫5例均表现为均匀的稍低密度,表面均未见溃疡形成。增强后动脉期5例肿瘤表现为轻度至中度强化,静脉期3例中度强化、2例明显强化,延迟期5例均进一步强化。1例肿瘤周围见增大的淋巴结,病理证实为反应性炎性增生淋巴结。结论:GS的CT影像表现虽具有一定的特征性,但确诊仍需依靠病理检查。

    Abstract:

    Objective:To investigate the computed tomography(CT) features of gastric schwannoma(GS) and its correlation with pathological manifestations. Methods:The complete clinical and CT data of 5 patients with pathological proved GS were summarized,and the clinical and CT features of 151 foreign patients with GS reported from 2010 to 2020 were reviewed and analyzed. Results:All the tumors were single,which located in gastric body,angle and antrum,respectively with 3 cases,1 case and 1 case. Lesions of five cases presented as expansive growth,among which 1 case grew outside the cavity fields,and 4 cases presented as bilateral growth. The maximum diameter was 21 mm to 60 mm. CT plain scan showed homogeneously slightly low density,and no ulceration was found on the surface. The dynamic enhancement scan showed mild to moderate reinforcement at the arterial phase;3 cases showed moderate reinforcement,2 cases showed obvious reinforcement at the venous phase;5 cases were further strengthened at the delayed phase. One case of them had enlarged lymph nodes around the tumor,which were confirmed by pathology as the reactive inflammatory proliferative lymph nodes. Conclusion:Although the CT manifestations of GS have certain characteristics,the diagnosis still depends on pathological examination.

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王福茹,张 月,于洪昌,蒋 震,刘 蓉,钮 慧. MSCT诊断胃神经鞘瘤5例分析并文献复习[J].重庆医科大学学报,2022,47(2):213-216

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  • 在线发布日期: 2022-04-15
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