Abstract:Objective: To access the accuracy of CT in the diagnosis of gastric glomus and to discuss its value by reviewing the literature. Methods: A retrospective analysis of the CT characteristics of gastric glomus(such as tumor size, CT value, enhancement mode, feeding artery and draining vein, and so on) was done. The study included 5 cases of gastric glomus confirmed by surgery and pathology(3 females and 2 males, age range 49~72 years old, average age was 61 years old). Dynamic enhanced CT scanning and MPR was used. Results: All the lesions located in the gastric antrum(5 cases), with the diameter ranging from 1.8 to 3.2 cm, and the average size was 2.5 cm. The density of the lesions was uniform or not, without hemorrhage, necrosis or cystic changes. The enhancement of the tumors in arterial phase was obviously homogeneous or not, and they were homogeneously enhanced in portal vein phase, similar with the enhancement of the abdominal aorta. Also, feeding artery and draining vein were found in tumors. Conclusions: Although the gastric glomus tumor is relatively rare, it has certain imaging characteristics of vascular disease, with feeding arteries and companying veins. Dynamic enhanced CT has a high value in the diagnosis of the disease.
华建军,舒锦尔,应明亮,鲁 军. 胃血管球瘤的CT诊断价值[J]. 中国临床医学影像杂志, 2016, 27(12): 888-891.
HUA Jian-jun, SHU Jin-er, YING Ming-liang, LU Jun. CT diagnosis of gastric glomus. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(12): 888-891.
[1]Miettinen M, Paal E, Lasota J, et al. Gastrointestinal glomus tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 32 cases[J]. Am J Surg Pathol, 2002, 26(3): 301-311.
[2]程羽青,吴丽莉,金晓龙,等. 胃血管球瘤8例临床病理分析[J]. 诊断病理学杂志,2013,20(8):462-465.
[3]陈洪潭,许国强,王丽君. 胃血管球瘤[J]. 中华医学杂志,2006,86(26):1871-1872.
[4]Lee NK, Kim S, Kim GH, et al. Hypervascular subepithelial gastrointestinal masses: CT-pathologic correlation[J]. Radio Graphics, 2010, 30(7): 1915-1934.
[5]陶昀璐,王振军,韩加刚,等. 胃血管球瘤43例诊治分析[J]. 现代肿瘤医学,2013,21(5):1097-1100.
[6]Lee HW, Lee JJ, Yang DH, et al. A clinicopathologic study of glomus tumor of the stomach[J]. J Clin Gastroenterol, 2006, 40(8): 717-720.
[7]Haque S, Modlin IM, West AB. Multiple glomus tumors of the stomach with intravascular spread[J]. Am J Surg Pathol, 1992, 16(3): 291-299.
[8]Folpe AL, Fanburg-Smith JC, Miettinen M, et al. Atypical and malignant glomus tumors: analysis of 52 cases, with a proposal for the reclassification of glomus tumors[J]. Am J Surg Pathol, 2001, 25(1): 1-12.
[9]Warner KE, Haidak GL. Massiveglomus tumor of the stomach: 20-year follow-up and autopsy findings[J]. Am J Gastroenterol, 1984, 79(4): 253-255.
[10]高峰,李文惠,李发智,等. 胃壁浆肌层巨大血管球瘤一例[J]. 中华普通外科杂志,2000,15(10):616.
[11]Kim JK, Won JH, Cho YK, et al. Glomus tumor of the stomach: CT findings[J]. Abdom Imaging, 2001, 26(3): 303-305.
[12]孔凡彬,曹伟,张春宁. 胃血管球瘤的CT诊断(附3例报告)[J]. 医学影像学杂志,2008,18(12):1467-1468.
[13]应明亮,肖文波,许顺良,等. 胃肠道外间质瘤的CT诊断价值[J]. 临床放射学杂志,2012,31(5):673-676.
[14]刘玉,林晓珠,宋琦,等. 胃血管球瘤CT诊断二例[J]. 放射学实践,2012,25(2):237-238.
[15]文亮,韩丹. 胃肠道类癌的临床病理及其影像学表现[J]. 临床放射学杂志,2008,27(5):694-697.