目的 :分析贲门癌CT表现 ,探讨其转移途径。方法 :选取 10 0例经病理或手术证实贲门癌作CT检查。结果 :(1)贲门癌CT表现为贲门管壁增厚 ,通常为小弯及大弯壁同时增厚 (92 % )及单独小弯壁增厚 (8% ) ,而未发现单独大弯壁增厚。 (2 )贲门癌小弯壁及大弯壁间夹角扩大 (85 % )及反突 (15 % )。 (3)淋巴结转移查找途径为贲门癌→贲门三组淋巴结→胃左动脉淋巴结→腹腔动脉淋巴结→腹膜后淋巴结。结论 :CT在贲门癌诊断中 ,特别寻找淋巴结及其它脏器转移途径有极其重要意义。 Objective: To analyze the CT manifestation of cardiac cancer and explore its metastatic route. Methods : One hundred cases with cardiac cancer diagnosed by pathology or surgery were selected for CT examination. Results: (1) Cardiac carcinoma showed a thickening of the cardial wall, usually with small and large curvatures (92%) and a small wall (8%), but no large wall was found. Thickening. (2) The angle between the small curved wall and the large curved wall of the cardia cancer was enlarged (85%) and reversed (15%). (3) Lymph node metastasis was searched for cardiac cancer → three groups of lymph nodes → left gastric artery lymph node → celiac artery lymph node → retroperitoneal lymph node. Conclusion: In the diagnosis of cardiac cancer, CT is particularly important for finding lymph nodes and other organ metastasis pathways.