[Angiographic diagnosis of gastrointestinal stromal tumors].
OBJECTIVE
To investigate the angiographic feature and its diagnostic value in gastrointestinal stromal tumor (GIST).


METHODS
Twelve patients with pathologically proved GIST underwent angiography using PUCK and DSA one week before operation. The origin, size, morphology and angiographic appearance of the lesion were retrospectively analyzed.


RESULTS
It was found that two tumors originated from stomach, eight from jejunum, and two from ileum. Seven cases were benign but five malignant. Obviously thickened and enlarged feeding artery was detected in eight tumors, and early-developed vein was found in three. Two types of angiographic changes of GIST were observed: 1) twisted irregular neoplastic vessels with partially coarse and indistinct margin were found in four cases, which were all malignant; 2) ball-like neoplastic vessels with homogeneous stain in tumor were found in eight cases, seven of them were benign but one was malignant.


CONCLUSIONS
Angiography may be helpful in localization and diagnosis as well as defining the size of GIST, and especially in patients with melena of unknown origin.
Fang
Song-hua
SH
Sir Run Run Shaw Hospital, Zhe Jiang University, Hangzhou 310016, China. fangsonghua@hzcnc.com
Meng
Lei
L
Dong
Dan-jun
DJ
Zhang
Shi-zheng
SZ
Jin
Mei
M
D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods; D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000098:blood supply* / Q000000981:diagnostic imaging*; D006801:Humans; D007580:Jejunal Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging*; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging*; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging*