Narayanswami Jyoti, Smith Daniel A, Enzerra Michael, Rahnemai-Azar Amir Ata, Kikano Elias, Ramaiya Nikhil H
Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Emerg Radiol. 2019 Aug;26(4):433-448. doi: 10.1007/s10140-019-01678-z. Epub 2019 Feb 4.
Oncologic emergencies have a high rate of morbidity and mortality. This review covers several scenarios of gastrointestinal malignancies presenting emergently as various acute abdominal pathologies. Radiologists should be familiar with the typical imaging findings, clinical presentations, and laboratory values which may suggest a background neoplasm, particularly when encountered in the context of an acute inflammatory state. Imaging plays a vital role in the workup of these patients; delays in appropriate diagnosis negatively affect outcomes, oftentimes resulting in the need for additional intervention. It is important for radiologists to understand which patients may have a higher likelihood of an underlying malignancy. Correctly identifying these malignancies when seen in an emergency room is particularly vital, as radiologists may be among the first providers to suggest a diagnosis of cancer in this setting.
肿瘤急症的发病率和死亡率很高。本综述涵盖了几种胃肠道恶性肿瘤以各种急性腹部病变形式紧急呈现的情况。放射科医生应熟悉可能提示潜在肿瘤的典型影像学表现、临床表现和实验室检查值，尤其是在急性炎症状态下遇到这些情况时。影像学在这些患者的检查中起着至关重要的作用；诊断延误对治疗结果有负面影响，常常导致需要额外的干预。放射科医生了解哪些患者更有可能患有潜在恶性肿瘤很重要。在急诊室看到这些恶性肿瘤时正确识别尤为关键，因为在这种情况下放射科医生可能是最早提出癌症诊断的医疗人员之一。
