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[腹部促纤维组织增生性小圆细胞肿瘤:3例CT表现及影像学-病理对照分析]

[Desmoplastic small round cell tumor of the abdomen: CT findings and radiologic-pathologic correlation in 3 cases].

作者信息

Eiriz Martínez S, Conceição E Silva J P

机构信息

Servicio de Radiología, Hospital Central de Faro, Faro, Portugal.

出版信息

Radiologia. 2009 May-Jun;51(3):313-7. doi: 10.1016/j.rx.2008.10.008. Epub 2009 Mar 18.

Abstract

We describe the CT findings of abdominal desmoplastic small round cell tumor (DSRCT) in three patients. The most common imaging finding was the presence of single or multiple soft-tissue density intraperitoneal masses without apparent origin in an abdominal organ. In the first patient, a single peritoneal mass was located in the mesentery between the stomach and pancreas. In the second patient, an intraperitoneal pelvic mass was seen in the retrovesical space. In the third patient, a large homogeneous soft-tissue mass that nearly filled the entire peritoneal space was found. Two patients had multiple liver metastases and adenopathies at the time of diagnosis. The diagnosis was confirmed with CT-guided percutaneous biopsies in all three cases. DSRCT should be suspected in young men with multiple bulky heterogeneous soft-tissue masses.

摘要

我们描述了3例腹部促结缔组织增生性小圆细胞肿瘤(DSRCT)的CT表现。最常见的影像学表现是存在单个或多个软组织密度的腹腔内肿块,无明显起源于腹部器官。在第1例患者中,单个腹膜肿块位于胃和胰腺之间的肠系膜。在第2例患者中,膀胱后间隙可见盆腔腹腔内肿块。在第3例患者中,发现一个大的均匀软组织肿块,几乎占据整个腹腔空间。2例患者在诊断时已有多发肝转移和淋巴结肿大。所有3例均经CT引导下经皮活检确诊。对于有多个巨大异质性软组织肿块的年轻男性,应怀疑DSRCT。

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