Sonographic features of duodenal lipomas in eight clinicopathologically diagnosed patients
Sonographic features of duodenal lipomas in eight clinicopathologically diagnosed patients作者机构：Department of Gastroenterology The First Affiliated Hospi-tal Medical School of Zhejiang University Hangzhou 310003Zhejiang Province China Department of Pathology The First AffiliatedHospital Medical School of Zhejiang University Hangzhou310003 Zhejiang Province China
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2011年第17卷第23期
页 面：2855-2859页
核心收录：
学科分类：090502[农学-动物营养与饲料科学] 0905[农学-畜牧学] 09[农学]
基 金：Supported by Medical and Health Research Fund of Zhejiang Province China No. 491010-W10495
主 题：Duodenum Lipoma Endoscopic ultraso-nography Hyperecho Echo attenuation
摘 要：AIM:To investigate the sonographic features and diagnostic value of endoscopic ultrasonography (EUS) for duodenal lipomas (DLs).METHODS:A total of eight consecutive patients with DL diagnosed pathologically were included in the *** EUS expert reviewed the ultrasonic images for all lesions,including the original layer of the duodenal wall,the echo intensity and the echo *** size of the lesions and the perifocal structures were also *** diagnosis by EUS was compared with the histological ***:Using routine endoscopy,only one case was correctly diagnosed as *** cases were classified as submucosal tumors,and three cases were mistaken for stromal *** tumors appeared as round or oval intensive hyperechoic lesions with distinct anterior borders that originated from the submucosal layer on *** ranged from 8 to 36 mm in size,with an average size of 16 *** echogenicity was seen in all cases except one that had a tubular structure inside the *** attenuation was observed only in the area behind the tumors in five cases,and it was observed both inside and behind the tumors in three cases in which the posterior border was obscure or *** (87.5%) cases were correctly diagnosed as DL,and one (12.5%) was mistaken as Brunner s gland adenoma by ***,all tumors originated from the submucosal layer and consisted of mature fat cells without *** the fat cells,there was a small amount of thick-wall vessels infiltrating the lymphocytes,and abundant fibrous connective ***:On EUS,DL is featured as an intensive homogeneous hyperechoic submucosal lesion with marked echo attenuation and without involvement of the mucosa.
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