| 涂长苹1 樊世富1 李然2 陈镜2 陈蓉2.腹壁肿瘤及瘤样病变的CT 诊断（附44 例报道）[J].,2012,12(16):3133-3137 |
| 腹壁肿瘤及瘤样病变的CT 诊断（附44 例报道） |
| CT Diagnosis of Tumors or Tumor-like Lesions of Abdominal Wall（Report of 44 Cases） |
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| DOI： |
| 中文关键词: 腹壁 肿瘤 影像学 X 线计算机 |
| 英文关键词: Abdominal wall Tumor Tmaging Computer |
| 基金项目: |
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| 中文摘要: |
| 目的：分析腹壁肿瘤及瘤样病变的CT 表现，旨在提高医师对腹壁肿瘤及瘤样病变的认识，并评价CT 在腹壁肿瘤诊断及鉴
别诊断中的价值。方法：回顾性分析44 例经病理证实的腹壁肿瘤及肿瘤样病变的CT 表现，并与病理结果对照。结果：（1）CT 扫描
对腹壁肿瘤及瘤样病变的定位诊断率达到100%（44/44），定性诊断率约84.1%（37/44）。（2）良恶性病变在边界清晰与否、大小等方
面并没有差异，边界不清的29 例病例中，14 例为良性，15 例为恶性。（3）腹壁病变呈较高密度影者均为良性（7/7），血管源性多见。
（4）血管瘤、纤维肉瘤、韧带样纤维瘤亦为渐进性强化，腹壁脓肿、结核为环状强化，转移瘤为不均匀强化。结论：CT 是目前诊断腹
壁肿瘤及肿瘤样病变的主要手段，能较准确定位病变，但对病变定性仍有一定的困难，最终需要病理证实。 |
| 英文摘要: |
| Objective: To study the imaging findings of tumors and tumor-like lesions of abdominal wall in order to evaluate the
role of CT in diagnosis of it. Methods: Analyze the clinical presentations and imaging presentation in 44 cases with review of the
literature, and contrast it with the Pathological findings. Results: (1) The niveau diagnosis ratio of CT to the tumors and tumor-like lesions
of abdominal wall reach 100%, and qualitation diagnosis ratio is 84.1% . (2) There is no discrepancy between benign and malignant
disease in the size and the boundary. There are 29 ill-defined cases, 14 cases are benign, 15 cases are malignant. (3) All the high density
lesions in the abdominal wall are benign (7/7).（4）Angeioma and desmoid tumor manifest gradual enhancement, mural abscess and
tuberculosis manifest crico-enhancement, so malignant tumor such as fibrosarcoma and metastatic tumor manifest uneven enhancement.
Conclusion: CT plays an important role in the diagnosis, staging and curative effect inspecting of tumors and tumor-like lesions of
abdominal wall, but it is difficult to qualitation, so the pathological findings is the extreme diagnosis. |
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