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目的总结贲门癌CT影像表现,探讨螺旋CT诊断贲门癌的价值。方法回顾性分析68例贲门癌患者CT影像学资料。结果螺旋CT诊断贲门癌61例,诊断符合率89.71%;误诊为淋巴瘤1例,间质瘤2例,食管胃底静脉曲张2例,误诊率7.35%;漏诊2例,漏诊率2.94%;螺旋CT平扫显示贲门壁增厚,软组织肿块,腹腔淋巴结及远处脏器转移,增强扫描贲门部肿块明显强化,容积扫描多轴位重建显示病变与周围结构情况更清晰。结论螺旋CT可显示贲门癌局部、周围侵犯和转移情况,对贲门癌评估及治疗方案的制订有一定价值。
Objective To summarize the CT imaging of cardia cancer and to explore the value of spiral CT in the diagnosis of cardia cancer. Methods A retrospective analysis of 68 cases of cardia cancer CT imaging data. Results The diagnosis of cardia cancer with spiral CT in 61 cases was 89.71%. Misdiagnosed as lymphoma in 1 case, stromal tumor in 2 cases and esophageal varices in 2 cases, the rate of misdiagnosis was 7.35%. Misdiagnosis in 2 cases and misdiagnosis rate was 2.94%. Spiral CT scan showed cardia wall thickening, soft tissue mass, abdominal lymph nodes and distant organs metastasis, enhanced scan cardia mass was significantly enhanced, multi-axial displacement volume scan showed lesions and the surrounding structure more clearly. Conclusion Spiral CT can show the local and peripheral invasion and metastasis of cardia cancer, and has some value in the evaluation of cardia cancer and the treatment plan.