摘要
目的探讨胃神经鞘瘤CT影像特征并分析误诊原因。方法回顾性分析5例经手术病理检查证实但CT检查误诊的胃神经鞘瘤临床资料。结果 5例均以上腹部不适、上腹部肿块、黑便等就诊,均行上腹部CT扫描。CT影像表现为边界锐利的类圆形均质肿块,与肌肉组织比较呈低密度,向腔内或腔外生长,病灶长径平均(6.2±2.3)cm,其中4例病变长径>5.0 cm。5例CT检查误诊为恶性胃间质瘤2例,胃平滑肌瘤、胃外肿瘤及偏良性胃间质瘤各1例,均经手术病理及免疫组织化学染色检查确诊胃神经鞘瘤。结论对CT表现为胃肠道壁内均质性、边界清晰的肿块,且无出血、坏死和囊变时,应警惕胃神经鞘瘤。
Objective To explore the CT manifestations of gastric schwannoma and to analyze the misdiagnosis causes.Methods Clinical data of 5casese with gastric schwannoma which were misdiagnosed by CT and finally diagnosed by pathological examinations for operation,were retrospectively analyzed.Results All the patients comlained of epigastric discomfort,upper abdominal mase and dark stools and underwent CT examination.
出处
《临床误诊误治》
2012年第8期30-33,共4页
Clinical Misdiagnosis & Mistherapy
基金
广东省医学科研基金立项课题(A2009406)
关键词
神经鞘瘤
胃
体层摄影术
螺旋计算机
误诊
平滑肌瘤
Neurilemmoma Stomach Tomography spiral computer Diagnostic error Leiomyoma
