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局限型腹膜间皮瘤的影像学诊断
作者:叶彤1 李嘉2 杨小庆1 
单位:1.东南大学附属中大医院,放射科,江苏,南京,210009; 2.东南大学附属中大医院,超声诊断科,江苏,南京,210009
关键词:间皮瘤 腹膜肿瘤 超声检查 体层摄影术 X线计算机 磁共振成像 
分类号:R735.5, R730.4
出版年·卷·期(页码):2002·21·第三期(242-244)
摘要:

目的:探讨局限型腹膜间皮瘤的影像学表现.方法:回顾分析8例经手术病理证实的局限型腹膜间皮瘤的X线、B超、CT和MRI表现.结果:8例均表现为腹膜腔内的孤立性肿块.B超与CT平扫6例为囊实性肿块,2例为低回声或低密度的实质性肿块.CT增强检查肿瘤实质部分呈显著或中等度强化.1例MRI表现为T1与T2加权像均为混杂信号.结论:将多种影像学检查手段结合应用,局限型腹膜间皮瘤有可能得到术前诊断.

Objective  To study the imaging features of localized peritoneal mesothelioma (LPM).Method  The X  ray,ultrasonography(US),computed tomography(CT) and magnetic resonance imaging(MRI) findings of 8 cases of LPM confirmed by surgery and pathology were retrospectively analyzed.Result  All 8 lesions appeared as solitary peritoneal masses.6 lesions were cystic  solid masses,while other 2 were solid masses with hypo  echo on US and hypo  density on plain CT.The solid portion of the tumours showed marked or moderate enhancement on contrast CT.1 case with MRI examination had heterointensity signal on T  1   and T  2  weighted images.Conclusion  It is possible to make preoperative diagnosis of LPM using combined examinations.

参考文献:

[1] 刘复生, 刘彤华. 肿瘤病理学, 1997
[2] Gourtsoyiannis N, BAYS D, MISSAS S. Solitary malignant mesothelioma of the small intestine:radiological appearances. 1996. doi:10.1007/s002619900059
[3] JOHN D O, PABLO R R, BRETT L S. Cystic mesothelioma of the peritoneum, 1989
[4] 郑祥武, 吴恩福, 殷微微. 恶性局限性腹膜间皮瘤的CT诊断与病理基础. 中华放射学杂志2001(1)
[5] OZGEN A, AKATA D, AKHAN O. Giant benign cystic peritoneal mesothelioma:US,CT,and MRI findings. 1998. doi:10.1007/s002619900387
[6] Chun H J, BYUN J Y, JUNG S E. Benign solitary fibrous tumour of pre-sacral space:MRI findings, 1998
[7] 于国, 李维华, 黄靖香. 腹膜囊性间皮瘤的病理学观察, 1994(5) 

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