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腹膜癌病及其影像学表现类似疾病:CT鉴别诊断结果综述

Peritoneal Carcinomatosis and Its Mimics: Review of CT Findings for Differential Diagnosis.

作者信息

Cho Joon Ho, Kim Seung Soo

机构信息

Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan-si, KR.

出版信息

J Belg Soc Radiol. 2020 Jan 30;104(1):8. doi: 10.5334/jbsr.1940.

DOI:10.5334/jbsr.1940
PMID:32025624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6993595/
Abstract

Peritoneal carcinomatosis (PC) indicates the metastasis of a malignant neoplasm to the peritoneal surface. PC can be incidentally detected before discovery of the primary malignancy during an imaging study. There are other conditions that can mimic PC, such as pseudomyxoma peritonei, peritoneal lymphomatosis, peritoneal malignant mesothelioma, leiomyomatosis peritonealis disseminata, and tuberculous peritonitis. These diseases may appear similar on computed tomography (CT), but there are some clues for the differential diagnosis. This article will describe the CT findings of PC and its mimics for the differential diagnosis.

摘要

腹膜癌病(PC)指恶性肿瘤转移至腹膜表面。在影像学检查中,PC可在原发性恶性肿瘤被发现之前被偶然检测到。还有其他一些情况可酷似PC,如腹膜假黏液瘤、腹膜淋巴瘤病、腹膜恶性间皮瘤、播散性腹膜平滑肌瘤病和结核性腹膜炎。这些疾病在计算机断层扫描(CT)上可能表现相似,但存在一些鉴别诊断的线索。本文将描述PC及其相似病症的CT表现以用于鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/36f67bffc898/jbsr-104-1-1940-g9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/3603191ce2d3/jbsr-104-1-1940-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/1a2ad30805cc/jbsr-104-1-1940-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/d06f5f43233b/jbsr-104-1-1940-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/cdc391d05b50/jbsr-104-1-1940-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/e1d8a460ec46/jbsr-104-1-1940-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/c198b9bd32db/jbsr-104-1-1940-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/f065b143f5aa/jbsr-104-1-1940-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/09ff657e2446/jbsr-104-1-1940-g8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/36f67bffc898/jbsr-104-1-1940-g9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/3603191ce2d3/jbsr-104-1-1940-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/1a2ad30805cc/jbsr-104-1-1940-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/d06f5f43233b/jbsr-104-1-1940-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/cdc391d05b50/jbsr-104-1-1940-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/e1d8a460ec46/jbsr-104-1-1940-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/c198b9bd32db/jbsr-104-1-1940-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/f065b143f5aa/jbsr-104-1-1940-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/09ff657e2446/jbsr-104-1-1940-g8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba36/6993595/36f67bffc898/jbsr-104-1-1940-g9.jpg

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本文引用的文献

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World J Gastroenterol. 2013 Nov 7;19(41):6979-94. doi: 10.3748/wjg.v19.i41.6979.
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Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation.腹膜腔的继发性肿瘤和肿瘤样病变:影像学特征与病理对照
Radiographics. 2009 Mar-Apr;29(2):347-73. doi: 10.1148/rg.292085189.
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CT findings of lymphoma with peritoneal, omental and mesenteric involvement: peritoneal lymphomatosis.伴有腹膜、网膜和肠系膜受累的淋巴瘤的CT表现:腹膜淋巴瘤病
ED diagnosis of peritoneal carcinomatosis.
腹膜癌病的 ED 诊断。
Emerg Radiol. 2024 Aug;31(4):475-480. doi: 10.1007/s10140-024-02238-w. Epub 2024 Jun 5.
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Ruptured Ovarian Cystic Teratoma: A Rare Diagnosis, Easily to Be Confused with Peritoneal Carcinomatosis.卵巢囊性畸胎瘤破裂:一种罕见的诊断,易与腹膜癌病混淆。
Medicina (Kaunas). 2024 Mar 10;60(3):460. doi: 10.3390/medicina60030460.
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High-grade B-cell lymphoma, not otherwise specified, presenting as primary peritoneal lymphomatosis and successfully treated with dose-adjusted EPOCH-R.未特指的高级别 B 细胞淋巴瘤,以原发性腹膜淋巴瘤形式出现,经剂量调整的 EPOCH-R 治疗后成功缓解。
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