Zboralske F F, Stargardter F L, Harell G S
Radiology. 1978 Apr;127(1):63-7. doi: 10.1148/127.1.63.
Certain roentgenographic features have been considered typical of benign gastric ulcers, based almost entirely on studies of the lesser curvature. However, these features frequently are not present on the profile view in benign greater curvature ulcers. Moreover, features stated to suggest malignancy in gastric ulcers are commonly simulated by benign greater curvature ulcers. The authors reviewed the profile roentgenographic features of 19 benign greater curvature ulcers and found that they often appeared to be intraluminal and had shouldered edges due to spasm of the surrounding circular muscles. In 6 patients the adjacent gastric contour was scalloped. These features frequently cause radiologists to misinterpret benign greater curvature ulcers as malignant.
某些X线造影特征几乎完全基于对胃小弯的研究而被认为是良性胃溃疡的典型表现。然而，这些特征在良性胃大弯溃疡的轮廓视图中并不常见。此外，据称提示胃溃疡恶变的特征在良性胃大弯溃疡中也很常见。作者回顾了19例良性胃大弯溃疡的轮廓X线造影特征，发现它们通常表现为腔内病变，且由于周围环形肌痉挛而有边缘隆起。6例患者的相邻胃轮廓呈扇形。这些特征常常导致放射科医生将良性胃大弯溃疡误诊为恶性。
