脾脏转移瘤的螺旋CT诊断

The Spiral CT Diagnosis of Splenic Metastasis

目的:探讨脾脏转移瘤的CT诊断价值。方法:采用西门子Somatom Plus4螺旋CT机扫描,15例脾转移瘤病例经手术、穿刺活检病理证实及临床上有明确原发灶随访证实。结果:15例转移瘤均表现为单发或多发低密度灶,囊肿型7例,结节型4例,巨块型4例。结论:病灶易囊样变为脾转移瘤常见的影像学表现,CT为目前诊断脾脏转移瘤的重要方法,但需结合临床分析才可做出明确诊断。

Objective：To study the CT diagnosis of splenic metastatic tumor. Methods：15 cases scanned by CT of Siemens Somatom Plus 4 were confirmed by operation,biopsy and follow up. Results：The CT findings of 15 cases were single or multiple low density lesions with types including 7 cysts, 4 nodules, 4 masses. Conclusion：The imaging manifestation of splenic matastatic tumor is frequently in cystiform. CT is now the important method for diagnosing the splenic metastatic tumor. And CT combined with clinical analysis can make a definite diagnosis.