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大网膜病变的计算机断层扫描

Computed tomography of omental pathology.

作者信息

Cooper C, Jeffrey R B, Silverman P M, Federle M P, Chun G H

出版信息

J Comput Assist Tomogr. 1986 Jan-Feb;10(1):62-6. doi: 10.1097/00004728-198601000-00013.

DOI:10.1097/00004728-198601000-00013
PMID:3944319
Abstract

Computed tomographic scans were reviewed in 46 patients with documented omental pathology to analyze the radiographic characteristics of benign and malignant disease. The normal omentum is identified on CT of the abdomen as a homogeneous fat density anterior to the transverse colon. Four distinct patterns of omental pathology were identified: (a) omental caking, (b) finely infiltrated fat with a "smudged" appearance, (c) cystic masses, and (d) discrete nodules. The smudged pattern of omental pathology was identified most frequently; it was present in 20 to 39 patients with malignant disease and in five of seven patients with inflammatory disease. Omental caking was present in 17 of 46 patients but was only identified in malignant disease. Computed tomography provides the most reliable radiographic technique to routinely evaluate omental pathology. A thorough understanding of the variable appearance of omental disease is important in identifying omental pathology.

摘要

对46例有记录的网膜病变患者的计算机断层扫描进行了回顾,以分析良性和恶性疾病的影像学特征。正常网膜在腹部CT上表现为横结肠前方均匀的脂肪密度。确定了四种不同的网膜病变模式:(a)网膜饼状增厚,(b)脂肪呈细颗粒状浸润伴“模糊”外观,(c)囊性肿块,(d)离散结节。网膜病变的模糊模式最为常见;在20至39例恶性疾病患者以及7例炎症性疾病患者中的5例中出现。46例患者中有17例出现网膜饼状增厚,但仅在恶性疾病中发现。计算机断层扫描提供了最可靠的影像学技术来常规评估网膜病变。全面了解网膜疾病的可变表现对于识别网膜病变很重要。

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