腹部CT 所見
左横隔膜下、胃壁の左外側に出血をまだらに含む多房性巨大腫瘤を認める。
出血とは別にまだらに造影される領域を含み、ねじれたように見える部分もある。
石灰化や脂肪成分は認められない。
Radiology Review Manual
Peritoneal Mass
C. CYSTIC MASS
1. Cystic mesothelioma
2. Pseudomyxoma peritonei
3. Bacterial/Mycobacterial infection
Omental Mass
B. CYSTIC MASS
1. Hematoma
2. Cystic mesothelioma
Mesenteric Mass
D. LOCULATED CYSTIC MASSES
1. Cystic lymphangioma (most common)
2. Pseudomyxoma peritonei
3. Cystic mesothelioma
4. Mesenteric cyst
5. Mesenteric hematoma
6. Benign cystic teratoma
7. Cystic spindle cell tumor (= centrally necrotic leiomyoma/leiomyosarcoma)
Mesenteric/Omental cysts
= “BUBBLES OF THE BELLY”
1. Lymphangioma
2. Nonpancreatic pseudocyst
= sequelae of mesenteric / omental hematoma / abscess
3. Duplication cyst
4. Mesenteric cyst
5. Enteric cyst
6. Cystic metastasis
7. Cystic mesothelioma
GI tract
1. GIST (Gastrointestinal stromal tumor)
Retroperitoneal tumor by tissue component
(d) Cystic component
1. Lymphangioma
2. Mucinous cystic tumor
3. Neurogenic tumor
鑑別診断
GIST
Leiomyoma/leiomyosarcoma
Mesothelioma
Neurogenic tumor
Other soft tissue sarcomas
Abscess