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患者女性,62岁。因上腹部不适行CT检查时发现回肠占位入院。各项实验室检查均未见异常。腹腔CT示盆腔内巨大混杂密度肿块影,与肠腔密度相同,其内见环状高密度致密影及气体密度影,病灶最大横截面积6.7 cm×7.4cm;增强扫描病灶明显不均匀强化,CT值约25.0~90.0HU,病灶周围间隙模糊并见多发增大淋巴结,病灶由肠系膜上动脉供血;肝脏、肝内胆管、胆总管、胆囊、胰腺、脾均未见明显异常强化密度影。考虑小肠恶性间质瘤伴周围淋巴结
Patient female, 62 years old. Due to upper abdominal discomfort CT examination found ileum occupancy admission. None of the laboratory tests showed any abnormalities. Abdominal CT showed pelvic mixed mass density of the shadow, and the same density of the intestine, which see the ring-shaped dense density and gas density, the maximum cross-sectional area of 6.7 cm × 7.4cm; enhancement of the lesion was significantly enhanced, CT value of about 25.0 ~ 90.0HU, fuzzy around the lesion and see the lesions increased lymph nodes, lesions by the superior mesenteric artery; liver, intrahepatic bile duct, common bile duct, gallbladder, pancreas, spleen were no significant abnormal density enhancement. Consider small intestinal malignant stromal tumors with peripheral lymph nodes