DifferentialdiagnosticvalueofMSCTforadvancedgastriccancerandgastriclymphoma / 实用放射学杂志
Journal of Practical Radiology
;
(12): 572-575,597, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-752398
ABSTRACT
Objective ToinvestigatetheapplicationvalueofMSCTinthedifferentialdiagnosisofadvancedgastriccancerand gastriclymphoma.Methods AretrospectiveanalysisofCTimagingdatawascarriedoutin48patientswithadvancedgastriccancer and16patientswithgastriclymphoma,confirmedbypathology.ThedifferencesofCT manifestations,includingtumorsiteinthe stomach,gastricwallchanges,gastricmucosachanges,changesofgastriccavity,densityandtheenhancementpatterns,adjacentadiposetissue changes,otherorganinvolvementandlymphnodemetastasis,wereanalyzed.Results Foradvancedgastriccancer,thetumorswere locatedinthegastricantrumin21casesandinmultiplesitesin11cases.Forgastriclymphoma,thetumorswerelocatedinthegastric bodyin2casesandinmultiplesitesin10cases.Foradvancedgastriccancer,gastricmucosaldisruptionwasfoundin33cases,stenosisofthe gastriclumenin27cases,andinhomogeneousenhancementin36cases.Forgastriclymphoma,gastricmucosaldisruptionwasfound in2cases,stenosisofthegastriclumenin3cases,andinhomogeneousenhancementin2cases.Foradvancedgastriccancer,morethan twogroupsoflymphnodesaroundthestomachwereinvolvedin23cases,andretroperitoneallymphadenopathybelowthelevelofrenalhilumin 9cases.Forgastriclymphoma,morethantwogroupsoflymphnodesaroundthestomachwereinvolvedin8cases,andretroperitoneal lymphadenopathybelowthelevelofrenalhilumin4cases.TherewerestatisticallysignificantdifferencesinCTmanifestationsmentionedabove, notinotherCT manifestationsbetweenthetwogroups.Conclusion MSCTcanwelldemonstratethethicknessofthediseasedgastricwall,the lesion’sdensity,siteandextent,theinvolvementofadjacentorgans,andboththeabdominalandretroperitoneallymphadenopathy. MSCTfindingsofadvancedgastriccancerandgastriclymphomahavecertaindifferenceandtheirowncharacteristics,providingCT evidencesforthedifferentialdiagnosiswhichishelpfulforthediagnosisandtreatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Journal of Practical Radiology
Year:
2019
Type:
Article
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