Li Yi-Zhuo, Wu Pei-Hong
Yi-Zhuo Li, Pei-Hong Wu, Imaging Diagnosis and Interventional Center, State Key Laboratory of Oncology in Southern China, Cancer Center, Sun Yat-sen University, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, Guangdong Province, China.
World J Radiol. 2015 Jan 28;7(1):7-16. doi: 10.4329/wjr.v7.i1.7.
This article summarizes the clinical characteristics and imaging features of common gastrointestinal (GI) neoplasms in terms of conventional radiological imaging methods. Barium studies are readily available for displaying primary malignancies and are minimally or not at all invasive. A neoplasm may be manifested as various imaging findings, including mucosal disruption, soft mass, ulcer, submucosal invasion and lumen stenosis on barium studies. Benign tumors typically appear as smoothly marginated intramural masses. Malignant neoplasms most often appear as irregular infiltrative lesions on barium examination. Tumor extension to adjacent GI segments may be indistinct on barium images. Cross-sectional images such as computed tomography and magnetic resonance imaging may provide more accurate details of the adjacent organ invasion, omental or peritoneal spread.
本文根据传统放射成像方法总结了常见胃肠道肿瘤的临床特征和影像学表现。钡剂造影检查易于进行,可用于显示原发性恶性肿瘤,且侵入性极小或无侵入性。肿瘤在钡剂造影检查中可表现为多种影像学表现,包括黏膜破坏、软组织肿块、溃疡、黏膜下浸润和管腔狭窄。良性肿瘤通常表现为边缘光滑的壁内肿块。恶性肿瘤在钡剂检查中最常表现为不规则的浸润性病变。在钡剂造影图像上,肿瘤向相邻胃肠道节段的延伸可能不清晰。计算机断层扫描和磁共振成像等横断面图像可以提供有关邻近器官侵犯、网膜或腹膜播散的更准确细节。