| 高敏,翟凤丽,张拉春,王香娥,陈彦武,宋鹏,梁峰.贲门癌MDCTT分期与病理对照[J].中国医学影像技术,2012,28(2):307~310 |
| 贲门癌MDCTT分期与病理对照 |
| T staging of cardiac carcinoma on MDCT : Comparison with pathology |
| 投稿时间：2011-07-20 修订日期：2011-10-14 |
| DOI： |
| 中文关键词: 胃肿瘤 贲门 体层摄影技术,X线计算机 分期 病理学 |
| 英文关键词:Stomach neoplasms Cardia Tomography, X-ray computed Staging Pathology |
| 基金项目: |
|
| 摘要点击次数: 2950 |
| 全文下载次数: 928 |
| 中文摘要: |
| 目的 评价MDCT对贲门癌T分期的意义。方法 参照AJCC 2010胃癌分期标准,对65例贲门癌患者通过术前MDCT影像行T分期,对CT显示不同层状结构病例,分别分析CT T分期与病理T分期的差异、病变胃壁厚度与T分期的相关性;以手术病理分期为金标准,计算MDCT对贲门癌T分期诊断的敏感度与准确率。结果 CT显示胃壁三层结构32例(32/65,49.23%),二层结构19例(19/65,29.23%),未显示分层14例(14/65,21.54%)。CT显示三层结构、二层结构及未显示分层者的T分期准确率分别为87.50%(28/32),73.68%(14/19),78.57%(11/14)。贲门癌病变胃壁厚8~41 mm,平均23.4 mm,以20 mm为阈值,厚度≥20 mm的病变86.67%(39/45)侵犯浆膜。结论 CT显示胃壁层次不同可用于贲门癌的分期诊断;MDCT对贲门癌的术前T分期与病理结果的一致性较好。 |
| 英文摘要: |
| Objective To investigate the value of MDCT in T stage of cardiac carcinoma. Methods Refer to AJCC 2010 staging of gastric cancer, preoperative T staging of 65 cases of cardiac carcinoma confirmed pathologically was performed using MDCT, and the results were compared with pathological T staging. The sensitivity and accuracy of MDCT in T staging of cardiac carcinoma were calculated. Results Three-layer structure of gastric wall was showed on CT in 32 cases (32/65, 49.23%), 2-layer structure in 19 (19/65, 29.23%) and one layer structure in 14 cases (14/65, 21.54%), and the corresponding diagnostic accuracy of T staging with pathological diagnosis was 87.50% (28/32), 73.68% (14/19) and 78.57% (11/14), respectively. The average thickness of stomach wall of cardiac carcinomas was 23.4 mm (8-41 mm). Taking 20 mm as the threshold, 86.67% (39/45) cases with gastric thickness ≥20 mm had serosal invasion. Conclusion Different parietal layers of gastric wall on MDCT imaging can be used in different diagnosis T staging of cardiac carcinoma. MDCT has in good agreement with pathological T staging of cardiac carcinoma. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
