2021-10-13|閱讀時間 ‧ 約 2 分鐘

[GI] Case 42

    45歲女性,主訴體重減輕及心灼熱感
    diffuse circumferential wall thickening of the stomach, with luminal narrowing. It is also called linitis plastica.
    diffuse circumferential wall thickening of the stomach, with luminal narrowing. It is also called linitis plastica.
    看到linitis plastica, 鑑別診斷:gastric cancer, metastasis, lymphoma, Crohn disease
    1. Gastric cancer: 最常見的影像特徵是focal irregular wall thickening with ulceration, 再來就是linitis plastica, 一邊都是分化不全的類別會有linitis plastica。
    2. metastasis: 多為breast and lung cancer metastasis.
    3. lymphoma: 只佔胃惡性腫瘤15%。
    4. Crohn disease: 注意小腸,大多都有侵犯。另外Crohn disease 另有一個特別的名稱來描述影像學特徵:Ram’s horn appearance (羚羊角)
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