摘要
目的：通过７５例皮肌炎材料分析，证实皮肌炎和恶性肿瘤的关系十分密切，影像诊断有重要意义。材料与方法：７５例皮肌炎伴发恶性肿瘤２２例共２４个肿瘤，４０岁以上发病者占６１．３％。１４例由常规Ｘ线检查发现，ＣＴ、Ｂ超、ＭＲＩ共发现５例。结果：２２例伴发恶性肿瘤者中，肺癌９例（中央型３例，周围型６例），消化道癌肿４例（贲门癌２例，胃癌１例，盲肠癌１例），鼻咽癌２例，其他癌肿７例。结论：皮肌炎伴发恶性肿瘤发生率文献报道可高达５０％，本组为２９．３％，发病部位不一，本组与文献报道一致，以肺癌最多见。大部分肿瘤可通过影像学检查发现，尤其是常规Ｘ线检查，我们建议对皮肌炎患者应常规作胸部、消化道、鼻咽部、乳腺Ｘ线检查和盆腔、肝、胆、胰Ｂ超。
Objective: To confirm the close relationship between dermatomyositis and malignant tumor and the important significance of radiological investigation.Materials and Methods:Among 75 cases of dermatomyositis accompanied with 24 malignant neoplasm (22 cases) were found. 61.3% of these patients were older than 40. 14 cases tumors were found by conventional Xray and 5 cases tumors were found by CT, ultrasound or MRI.Results:In 22 cases of malignant tumors there were 9 bronchogenic carcinomas (3 central types and 6 peripheral types), 4 gastrointestinal carcinomas (2 cardiac carcinomas, 1 gastric carcinoma, 1 cecal carcinoma), 2 nasopharyngeal carcinomas, and 7 cases of other malignant tumors.Conclusion: It has been reported that among dermatomyositis patients the incidence of malignant tumor could be as high as 50%, our series were 29.3%, the locations of the tumors varied, our results was in concidence with the literature reports, bronchogenic carcinoma was the most common. Most of the tumors could be found by radiological investigations, especially conventional Xray. We suggest that radiographic imaging of chest, gastrointestinal, nasopharyngeal, breast and ultrasound imaging of liver, gallbladder, pancreas, pelvis should be routinely performed, CT of MRI imaging should be carried out necessary.
出处
《临床放射学杂志》
CSCD
北大核心
1998年第3期159-161,共3页
Journal of Clinical Radiology
关键词
皮肌炎
恶性肿瘤
放射摄影术
磁共振成像
B超
CT
Dermatomyositis Malignant neoplasm Radiography Tomography, computed Xray MRI Ultrasound
