十二指肠平滑肌肉瘤的影像诊断(附9例报告)
来源: 2006-10-26 01:08:25

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Imaging Evaluation of Duodenal leimyosarcomasA Report of 9 Cases

 

赵艳  杨海山

Zhao YanYang Haishan

Department Of RadiologyThe Third Clinical CollegeNorman Bethune University of Medical SciencesChangchun 130031

 

Abstract

  ObjectivePurpose To investigate the imaging features of duodenal leiomyosarcomas

  MethodsFour were male and five femaleThe age of the patients was from 33 to 72 yearswith average of 52.11 yearsThe examination consisted of USbarium studiesCT4casesand angiography2cases).The nine cases have been confirmed by operation and pathology

  ResultsThe main imaging manifestation of duodenal leiomyosarcomas were as follow Stenosis;②Extraduodenal masses;③Filling defect;④Tumor necrosis and ulceration;⑤CT features central zones of low density were surround by thickness of soft tissue density;⑥Angiographic manifestion is usually predominant blood supply

  ConclusionXray barium studies and CT are shown to yield more accurate diagnostic methodsAngiography is a good complementary technique to correct diagno sis of leiomyosarcomas

  Key wordsDuodenal leimysarcomaslmaging diagnosis

 

  十二指肠平滑肌肉瘤是胃肠道较罕见的恶性肿瘤。临床表现不典型,术前诊断较困难。本文收集我院病理证实的9例患者的临床及影像学资料。对其上消化道钡餐透视、超声学、CT及腹腔动脉造影表现作了回顾性分析,探讨本病的影像学诊断特征,以提高对本病的认识和诊断能力。

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