[1]李玉林,黄 送,康其伟,等.胃肠道神经源性肿瘤CT征象及临床病理学特征[J].医学信息,2020,33(07):165-167,170.[doi:10.3969/j.issn.1006-1959.2020.07.055]
　LI Yu-lin,HUANG Song,KANG Qi-wei,et al.CT Signs and Clinicopathological Features of Gastrointestinal Neurogenic Tumors[J].Medical Information,2020,33(07):165-167,170.[doi:10.3969/j.issn.1006-1959.2020.07.055]
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胃肠道神经源性肿瘤CT征象及临床病理学特征()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年07期
页码:
165-167,170
栏目:
诊疗技术
出版日期:
2020-04-01

文章信息/Info

Title:
CT Signs and Clinicopathological Features of Gastrointestinal Neurogenic Tumors
文章编号:
1006-1959（2020）07-0165-04
作者:
李玉林; 黄 送; 康其伟; 等
（梅州市人民医院放射科1，病理科2，广东 梅州 514031）
Author(s):
LI Yu-lin; HUANG Song; KANG Qi-wei; et al
(Department of Radiology1,Department of Pathology2,Meizhou People’s Hospital,Meizhou 514031,Guangdong,China)
关键词:
胃肠道肿瘤; 神经源性肿瘤; 病理学; 体层摄影; X线计算机
Keywords:
Gastrointestinal tumors; Neurogenic tumors; Pathology; Tomography; X-ray computer
分类号:
R735.2
DOI:
10.3969/j.issn.1006-1959.2020.07.055
文献标志码:
A
摘要:
目的 探讨胃肠道神经源性肿瘤的CT征象、临床病理学特征。方法 回顾性分析2009年2月~2019年4月我院经手术病理证实的15例胃肠道神经源性肿瘤患者的CT资料、临床病理资料，观察肿瘤发生部位、大小、形态、钙化、出血、囊变坏死、强化程度、强化方式。结果 15例肿瘤中有14例为神经鞘瘤、1例为神经纤维瘤。13例在胃部、1例在十二指肠、1例在横结肠。肿瘤大小不等，形态多数规则、边缘清晰，囊变坏死、钙化、分叶少见，多成跨壁或腔内生长，强化均匀或不均匀、增强扫描呈中等到明显强化。免疫组化显示，S100均呈阳性、CD34、CD117、DOG1、SMA检查均呈阴性、Ki67（+）2%~3%。结论 胃肠道神经源性肿瘤多发生于胃，呈腔内或跨壁生长，形态规则，少见坏死钙化，增强扫描呈中度到明显强化。
Abstract:
Objective To explore CT signs and clinicopathological features of gastrointestinal neurogenic tumors.Methods Retrospective analysis of CT data and clinicopathological data of 15 patients with gastrointestinal neurogenic tumors confirmed by surgical pathology from February 2009 to April 2019 in our hospital, and observation of tumor site, size, morphology, calcification, bleeding,Necrosis of the capsule, degree of enhancement, and method of enhancement.Results Of the 15 tumors, 14 were schwannomas and 1 was neurofibromas. 13 cases were in the stomach, 1 case was in the duodenum, and 1 case was in the transverse colon. Tumors vary in size, most of the shape is regular, the edges are clear, cystic necrosis, calcification, and lobation are rare. Most of them grow across the wall or cavity. The enhancement is uniform or uneven, and the enhancement scan is moderate to obvious enhancement. Immunohistochemistry showed that S100 was positive, CD34, CD117, DOG1, and SMA were all negative, and Ki67 (+) 2% ~ 3%.Conclusion Gastrointestinal neurogenic tumors mostly occur in the stomach, grow in the cavity or across the wall, have regular morphology, and rarely have necrotic calcification.

参考文献/References:

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更新日期/Last Update: 2020-04-01