Hu Shu Dong, Hu Duan Min, Huang Wei, Chen Ke Min, Song Qi
Department of Radiology, Shanghai Jiaotong University School of Medicine, Shanghai; Department of Radiology, Affiliated Renmin Hospital, Jiangsu University, Zhenjiang, Jiangsu Province, China.
J Dig Dis. 2014 Sep;15(9):477-82. doi: 10.1111/1751-2980.12172.
To provide a retrospective assessment of clinical characteristics of the patients with gastric glomus tumors and the imaging features of the tumors on multidetector row computed tomography (MDCT).
Consecutive patients with gastric glomus tumor which was confirmed by postoperative pathology from January 2004 to January 2012 in a tertiary hospital were included in the study. The MDCT images and medical records of the patients including the imaging features of the tumor on MDCT such as its location, number, shape, growth pattern, size, density and enhancement pattern were retrospectively reviewed.
Altogether ten patients were included in the study, including seven women and three men, with a mean age of 46.6 years (range 25-67 years). Most patients had nonspecific clinical symptoms. All lesions were located at the gastric antrum, with a mean diameter of 2.7 cm. The gastric glomus tumor showed strong enhancement at the arterial phase, a progressive filled-in enhanced pattern and prolonged enhancement during multiphasic scans.
Gastric glomus tumor is clinically an extremely rare disease. The combination of tumor location, size and the characteristic enhancement pattern of the subepithelial lesion may suggest a diagnosis of gastric glomus tumor.
对胃血管球瘤患者的临床特征及多排螺旋计算机断层扫描（MDCT）上肿瘤的影像特征进行回顾性评估。
纳入2004年1月至2012年1月在一家三级医院经术后病理确诊为胃血管球瘤的连续患者。回顾性分析患者的MDCT图像和病历，包括肿瘤在MDCT上的影像特征，如位置、数量、形态、生长方式、大小、密度和强化方式。
共纳入10例患者，其中女性7例，男性3例，平均年龄46.6岁（范围25 - 67岁）。大多数患者有非特异性临床症状。所有病变均位于胃窦，平均直径2.7 cm。胃血管球瘤在动脉期呈明显强化，多期扫描呈渐进性填充强化模式且强化持续时间延长。
胃血管球瘤在临床上是一种极其罕见的疾病。肿瘤位置、大小及上皮下病变的特征性强化模式相结合可能提示胃血管球瘤的诊断。
