原发性十二指肠段平滑肌肉瘤影像学分析

Image analysis of leiomyosarcoma in descending duodenum

目的 探讨各种影像学检查在十二指降段平滑肌肉瘤诊断中的价值。方法 本文分析了 7例经手术病理证实的十二指肠降段平滑肌肉瘤影像学所见。结果 各种检查中低张十二指肠造影、CT诊断价值较大 ,而B超和内镜检查尤其对本病腔外型诊断价值较小。结论 低张十二指肠双对比造影 ,是发现和诊断十二指肠降段平滑肌肉瘤的首选检查方法 。

Objects To evaluate different radiological methods in diagnosis of leimyosarcoma in descending duodenum. Methods To analyze the radiological imaging of 7 cases which post operation pathology is leimyosarcoma in descending duodenum. Results Barium study (gastro-intestinal) and CT scan are sensitive in detect extraluminal type of duodenum tumor and B type ultrasound, endoscopy are less valuable. Conclusion Barium study is the standard investigation for the diagnosis and detecting duodenum tumor, while CT is helpful in making correct diagnosis and clinical treatment.