CT Appearances of Mesenteric Tumors and the Differential Diagnosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YIN Longlin , SONG Bin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Small bowel mesentery; Neoplasm; Computer-assisted tomography

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Objective To review the CT appearances and important differential diagnoses of various primary and secondary mesenteric neoplasms.
Methods By describing the mesenteric anatiomy and major routes for the dissemination of metastatic mesenteric tumors, the article presents both the common and rare types of various primary and secondary mesenteric neoplasms, and addresses the characteristic CT appearances and important aspects of the differential diagnosis.
Results CT study, especially the multislice spiral CT (MSCT), along with the clinical history and other related information, can nicely depict various mesenteric tumors and well differentiate them from infectious, inflammatory or vascular processes affecting the mesentery.
Conclusion CT is the imaging method of choice for the evaluation of tumors of small bowel mesentery.

Citation： YIN Longlin,SONG Bin. CT Appearances of Mesenteric Tumors and the Differential Diagnosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(2): 175-179. doi: Copy

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17.	Winston CB, Hadar O, Teitcher JB, et al. Metastatic lobular carcinoma of the breast: patterns of spread in the chest, abdomen, and pelvis on CT [J]. AJR Am J Roentgenol, 2000; 175(3)∶795.
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1. 于频主编. 系统解剖学 [M] . 第4版. 北京：人民卫生出版社， 1996∶179～179.
2. Horton KM, Fishman EK. Volumerendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions [J]. Radiographics, 2002; 22(1)∶161.
3. Whitley NO, Bohlman ME, Baker LP. CT patterns of mesenteric disease [J]. J Comput Assist Tomogr, 1982; 6(3)∶490.
4. Bernardino ME, Jing BS, Wallance S. Computed tomography diagnosis of mesenteric masses [J]. AJR Am J Roentgenol, 1979; 132∶33.
5. Brooks AP, Reznek RH, Nugent K, et al. CT appearances of desmoid tumours in familial adenomatous polyposis: further observations [J]. Clin Radiol, 1994; 49(9)∶601.
6. 周康荣编. 腹部CT \[M\]. 上海：上海医科大学出版社,1993∶227~244.
7. Mizoe A, Takebe K, Kanematsu T. Primary leiomyosarcoma of the jejunal mesentery: report of a case [J]. Surg Today, 1998; 28(1)∶87.
8. Phillips RH, Carr RA, Preston R, et al. Sclerosing mesenteritis involving the pancreas: two cases of a rare cause of abdominal mass mimicking malignancy [J]. Eur J Gastroenterol Hepatol, 1999; 11(11)∶1323.
9. Okino Y, Kiyosue, Mori H, et al. Root of small-bowel mesentery: correlative anatomy and CT features of pathologic conditions [J]. Radiographics, 2001; 21（6）∶1475.
10. Wallace S, Ajani JA, Charnsangavej C, et al. Carcinoid tumors: imaging procedures and interventional radiology [J]. World J Surg, 1996; 20(2)∶147.
11. PantongragBrown L, Buetow PC, Carr NJ, et al. Calcification and fibrosis in mesenteric carcinoid tumor: CT findings and pathologic correlation [J].AJR Am J Roentgenol, 1995; 164(2)∶387.
12. McMahon PM, Halpern EF, Fernandezdel Castillo C, et al. Pancreatic cancer: costeffectiveness of imaging technologies for assessing resectability [J]. Radiology, 2001; 221(1)∶93.
13. Jadvar H, Mindelzun RE, Olcott EW, et al. Still the great mimicker: abdominal tuberculosis [J]. AJR Am J Roentgenol, 1997; 168(6)∶1455.
14. Avila NA, Ling A, Worobec AS, et al. Systemic mastocytosis: CT and US features of abdominal manifestations [J]. Radiology, 1997; 202(2)∶367.
15. Healy JC, Reznek RH. The peritoneum, mesenteries and omenta: normal anatomy and pathological processes [J]. Eur Radiol, 1998; 8(6)∶886.
16. Kawashima A, Fishman EK, Kuhlman JE, et al. CT of malignant melanoma: patterns of small bowel and mesenteric involvement [J]. J Comput Assist Tomogr, 1991; 15(4)∶570.
17. Winston CB, Hadar O, Teitcher JB, et al. Metastatic lobular carcinoma of the breast: patterns of spread in the chest, abdomen, and pelvis on CT [J]. AJR Am J Roentgenol, 2000; 175(3)∶795.
18. Kim Y, Cho O, Song S, et al. Peritoneal lymphomatosis: CT findings [J]. Abdom Imaging, 1998; 23(1)∶87.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

CT Appearances of Mesenteric Tumors and the Differential Diagnosis

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