CT Diagnostic Value of Gastrointestinal Stromal Tumors / 实用放射学杂志

ABSTRACT

Objective To analyze CT features of gastrointestinal stromal tumors(GIST) and to evaluate its value in diagnosis of thedisease.Methods Both plain and enhanced CT findings in 32 cases with GIST pathologically-proved were retrospectively analyzed.Gastrointestinal air-barium double contrast radiography was performed in 15 patients . Results The tumors originated from the stomach (n=18),jejunum(n=4),ileum(n=3),esophagus(n=2),mesentery(n=2),ascending colon(n=1),rectum(n=1) and greater omentum(n=1).Of 32 GIST,12 were benign and 20 were malignant.In benign GIST ,the diameter of the tumor was less than 5cm,with clear margin and homogeneous density.In malignant GIST,the diameter of the tumor was more than 7 cm,the tumors were lobular in shape ,with necrosis within the tumor ,the tumor had large and deep ulcers,invasion of adjacent tissues and metastasis.The positive predictive value of CT for location of GTST was 96.9%(31/32),the positive predictive value of CT for differentiation of benign and malignant GIST was 93.8%(30/32).Conclusion CT is of great value in diagnosis of GIST.It can be considered as a supplement to X-ray barium meal examination and can provide useful informations for early diagnosis and for the evaluation of the treatment and prognosis.