胃癌CT表现及其对手术切除可行性的探讨

The Research report of the Signs of Carcinoma of Stomach and the Possibility of Excision

目的：探讨胃癌CT表现、诊断价值及CT扫描对胃癌手术切除可行性评估。材料与方法；60例常规CT扫描的胃癌病例，并行手术病理对照，评价手术切除可行性。结果：除3例原胃癌，5例早期胃癌外均有明显胃癌CT征象，胃壁增厚42例，软组织肿块24例，胃周脂肪线改变35例，胃周及远处淋巴结肿大13例，邻近器官及远处器官转移5例，胃壁明显强化28例。结论：胃癌CT扫描能显示内脏及胃壁病变、胃周及邻近器官浸润，远处脏器及淋巴结转移等特征，是胃癌定性诊断、术前分期及术后随访的有效手段，是术前评估的重要方法。

Purpose:To search for the sings of carcinoma of stomach and the value of diagnosis,estimate thepossibility of excision by CT scanning. Materials and methods:sixty carcinoma of stomach cases by routine CTscanning,contrasted with operation pathology,appraising the possibility of excision. Results: Except three cases ofcarcinoma in situ and five caese of early carcinoma,they all have obvious CT signs of carcionoma of stomach. 42cases, gastric wall thickened;24 cases, myoid tissue have lump figures ;35 cases, the fat line around the stomachchange;13 cases,the around the stomach and distalis lymph glands swell; 5 cases,neighbouring and distalis organstransfer; 28 cases, gastric wall intensified obviously. Conalusion; The CT scanning of carcinoma of stomach canshow the signs of the pathological changes of internal organs and gastric wall,the infiltration of the organs next tothe stomach,the meatastasis of distalis organs and lymph glands and so on. It is an effective mean to discover carccinoma of stomach,divide it by stages before operation and investigate it whenever necessary after operation. It isalso an important method to estimate it before operation.