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1.
Journal of Sun Yat-sen University(Medical Sciences) ; (6): 629-635, 2019.
Artigo em Chinês | WPRIM | ID: wpr-817760

RESUMO

@#【Objective】 To summarize the CT and MRI imaging features of gallbladder neuroendocrine tumor.【Methods】 CT and MRI data of 10 patients with gallbladder neuroendocrine tumors proven by surgical pathology between January 2010 and May 2018 were retrospectively analyzed. Among them,6 patients underwent CT examination,3 underwent MRI examination,and 1 patient underwent both CT and MRI examinations. The size,morphologic features and contrast enhancement pattern of gallbladder tumors,and the presence of liver metastasis,bile duct and perihepatic metastasis,lymph node metastasis,and the presence of gallbladder stone were assessed.【Results】Among these 10 cases of gallbladder neuroendocrine tumor,the largest dimension of tumors ranged from 39 mm to 120 mm. The tumors manifest? ed as a mass protruding into the lumen with a broad base adhering to the wall of the gallbladder. In 7 patients who had undergone CT examination,the tumors manifested as an irregular mass with soft tissue density on CT. In 4 patients who had undergone MRI,the tumors showed homogeneous iso-intense signal on T1-weightedimaging,heterogenous hyper-intense signal on T2- weighted imaging,and limited diffusion on diffusion- weighted imaging. All tumors in 10 patients showed moderate,heterogeneous and persistent enhancement. Eight patients had liver metastasis,among whom 7 had metastases in liver segments 4 and 5,and 1 had multiple metastases in other liver segments. Six patients had bile duct invasion and 3 had hilar fat invasion. Seven patients had lymph node metastasis. One patient had gallstone.【Conclusion】Gallbladder neuroendocrine tumor has certain characteristic CT and MRI findings,such as a large mass in gallbladder,which tends to invade adjacent liver parenchyma,and extend along gallbladder neck and gallbladder ducts,accompanied with hepatic portal and retroperitoneal lymph node metastasis,and hilar fat invasion.

2.
Chinese Journal of Gastrointestinal Surgery ; (12): 230-233, 2013.
Artigo em Chinês | WPRIM | ID: wpr-314818

RESUMO

<p><b>OBJECTIVE</b>To analyze the association between CT features and survival rate of GIST, and to elucidate the significance of CT features for prognosis.</p><p><b>METHODS</b>Clinical data of 38 patients with pathologically and immunohistochemically proven GISTs, including 11 patients at high biological risk, 13 at moderate risk, 10 at low risk and 4 at very low risk. Patients who underwent CT examination for primary tumors were included. Association between CT features and survival rate was examined.</p><p><b>RESULTS</b>The mean follow-up period of 38 cases was 42.6 months and the 3-year survival rate was 86.8%. Univariate analysis revealed that tumor growth pattern, diameter, lobulated shape, irregular margin, necrosis, ulceration, adjacent invasion, and liver metastasis were associated factors of 3-year survival rate. Circumference invasion and hepatic metastases predicted poor 3-year survival rate (P<0.05). Calcification and intensity were not associated with prognosis (P>0.05).</p><p><b>CONCLUSIONS</b>CT can demonstrate the tumor growth pattern, size, shape, boundary, density, necrosis, hemorrhage, calcification, ulcer, enhance features and metastasis. CT can play an important role in estimating the survival rate of GIST.</p>


Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Seguimentos , Neoplasias Gastrointestinais , Diagnóstico por Imagem , Tumores do Estroma Gastrointestinal , Diagnóstico por Imagem , Prognóstico , Taxa de Sobrevida , Tomografia Computadorizada por Raios X , Métodos
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