Analysis of characteristics of multi-slice spiral CT in primary splenic tumors / 中国基层医药

ABSTRACT

Objective To analyze the plain and enhanced features of multiple spiral CT in primary splenic tumors,and to evaluate the diagnostic value.Methods The spiral CT findings of 29 cases of splenic primary tumors proved by operation or biopsy were retrospectively analyzed.Results 23 cases of benign tumors (9 cases of splenic cyst,7 cases of hemangioma,3 cases of lymphangioma,2 cases of myofibroblastic tumor,hamartoma in 2 cases),clinical manifestations of mild abdominal discomfort or no symptoms;CT scan for spleen in single or multiple low density or mixed density mass.Hemangioma,wrong structure can show the tumor calcification spots,hamartoma with calcification or fat density.CT enhancement,no enhancement of splenic cyst,hemangioma and delayed enhancement,center filling;lymphangioma without slight strengthening or interval,myofibroblastic tumor or hamartoma to strengthen the characteristic of diversity.6 cases of malignant tumors (3 cases of lymphangioma,2 cases of lymphoma,1 case of malignant fibrous histiocytoma of angiosarcoma),malignant tumors had abdominal pain,weight loss and other symptoms,CT scan,spleen enlargement,mass was larger,the boundary was not clear,less calcification,can strengthen the CT,tumor metastasis;lymph enhanced slightly,angiosarcoma delayed enhancement,uneven enhancement of malignant fibrous histiocytoma.Conclusion Multi slice spiral CT scanning combined with enhancement has a high diagnostic value for primary splenic tumors.