Fujii Yasutomo, Taniguchi Nobuyuki, Koibuchi Harumi, Yasuda Yoshikazu, Nagai Hideo
Department of Clinical Laboratory Medicine, Jichi Medical University School of Medicine, Yakushiji 3311-1, Shimotsuke, Tochigi 329-0498, Japan.
J Clin Ultrasound. 2008 Feb;36(2):59-62. doi: 10.1002/jcu.20393.
To evaluate the use of sonography in the assessment of compressibility of the affected bowel in the differential diagnosis of gastrointestinal (GI) lymphoma.
Thirty-two cases of advanced gastric cancer, 28 cases of advanced colon cancer, 7 cases of gastric lymphoma, and 6 cases of colon lymphoma were included in the study. To assess the compressibility of the affected bowel, a transducer was used to exert external compression. Deformation of the tumor and its lumen by compression was considered to indicate positive compressibility.
Compressibility was absent in advanced gastric and colon cancer but was present in 11/13 (85%) cases of GI lymphoma. In the diagnosis of GI lymphoma, compressibility showed 85% (11/13) sensitivity, 97% (58/60) specificity, and 95% (69/73) overall accuracy.
Compressibility of the affected bowel is a useful clue in the diagnosis of GI lymphoma.
评估超声检查在胃肠道（GI）淋巴瘤鉴别诊断中对受累肠管可压缩性评估的应用价值。
本研究纳入32例进展期胃癌、28例进展期结肠癌、7例胃淋巴瘤和6例结肠淋巴瘤患者。为评估受累肠管的可压缩性，使用超声探头进行外部压迫。肿瘤及其管腔受压变形被视为可压缩性阳性。
进展期胃癌和结肠癌不存在可压缩性，但13例胃肠道淋巴瘤中有11例（85%）存在可压缩性。在胃肠道淋巴瘤的诊断中，可压缩性的敏感性为85%（11/13），特异性为97%（58/60），总体准确率为95%（69/73）。
受累肠管的可压缩性是胃肠道淋巴瘤诊断中的一个有用线索。
Zotero 插件