摘要
AIM: To discuss the angiographic features of gastrointestinastromal tumor (GIST) and to evaluate their diagnostic role.METHODS: Twelve patients with pathologically proved GISTunderwent angiography (DSA)I wk before operation, usingPuck and digital subtraction DSA. The origin, size, morphologyand angiographic appearance of the lesions were reviewed.RESULTS: Two tumors arose from stomach, 8 from jejunum,and 2 from ileum. Seven cases were benign and 5 weremalignant. Obviously thickened supplying arteries weredetected in 8 tumors, and early-developed veins were foundin 3. Two types of angiographic changes of GIST were observed.Four cases had twisted irregular neoplastic vessels withpartially coarse and indistinct margins, which were allmalignant. Eight cases had ball-like neoplastic vessels withuniform tumor staining, of which 7 were benign and 1 wasmalignant.CONCLUSION: Angiography facilitates localization anddiagnosis of GIST, helps define their size, range and location,and is especially valuable to patients suffering from melenawith unknown reasons.
AIM:To discuss the angiographic features of gastrointestinal stromal tumor(GIST)and to evaluate their diagnostic role. METHODS:Twelve patients with pathologically proved GIST underwent angiography(DSA)1 wk before operation,using Puck and digital subtraction DSA.The origin,size,morphology and angiographic appearance of the lesions were reviewed. RESULTS:Two tumors arose from stomach,8 from jejunum, and 2 from ileum.Seven cases were benign and 5 were malignant.Obviously thickened supplying arteries were detected in 8 tumors,and early-developed veins were found in 3.Two types of angiographic changes of GIST were observed. Four cases had twisted irregular neoplastic vessels with partially coarse and indistinct margins,which were all malignant.Eight cases had ball-like neoplastic vessels with uniform tumor staining,of which 7 were benign and 1 was malignant. CONCLUSION:Angiography facilitates localization and diagnosis of GIST,helps define their size,range and location, and is especially valuable to patients suffering from melena with unknown reasons.
