本文關(guān)鍵詞：胸膜孤立性纖維瘤MSCT表現(xiàn)　出處：《中國醫(yī)學(xué)影像技術(shù)》2016年03期 　論文類型：期刊論文

  更多相關(guān)文章： 孤立性纖維瘤 胸膜 體層攝影術(shù) X線計算機

【摘要】：目的探討胸膜孤立性纖維瘤(SFTP)的CT表現(xiàn)及MSCT診斷價值。方法回顧性分析12例經(jīng)手術(shù)病理證實的SFTP患者的臨床和CT影像資料,并與病理結(jié)果進行對照分析。結(jié)果 12例SFTP中,10例為良性,2例為交界性。10例呈類圓形或類橢圓形,2例呈不規(guī)則形。12例病灶均呈膨脹性或鑄型生長,邊界較清。1例腫塊造成肋骨輕微壓迫性骨吸收,1例病灶局部侵犯胸壁軟組織。9例病灶平掃密度不均勻,1例伴多發(fā)小結(jié)節(jié)狀鈣化。9例增強掃描動脈期呈輕至中度均勻或不均勻強化,7例可見明顯強化血管影;靜脈期各例呈中度至明顯持續(xù)漸進性不均勻強化,呈"地圖樣"改變。5例病灶可見壞死囊變區(qū)。結(jié)論 SFTP的CT表現(xiàn)具有一定特征性,MSCT重建對其定位和定性診斷具有重要價值。
[Abstract]:Objective to investigate the CT manifestations of pleural solitary fibroma (SFTP) and the diagnostic value of MSCT. Methods the clinical and CT images of 12 patients with SFTP confirmed by operation and pathology were retrospectively analyzed and compared with the pathological results. Results of the 12 cases of SFTP, 10 were benign and 2 were borderline. 10 cases were round or like ellipse, and 2 were irregular. In 12 cases, the lesions were both expansive or cast, with a clearer boundary. 1 cases of lumps caused slight compression of the ribs and 1 cases of local invasion of the soft tissue of the chest wall. 9 cases were plain uneven density, 1 cases with multiple small nodular calcification. 9 cases of enhanced scan showed mild to moderate homogeneous or heterogeneous enhancement in arterial phase, and 7 cases showed obvious enhancement of vascular shadow. In venous phase, all cases showed moderate to obvious progressive, heterogeneous enhancement, and showed a "map like" change. Necrotic cysts were found in 5 cases. Conclusion the CT performance of SFTP is characteristic, and MSCT reconstruction is of great value for its localization and qualitative diagnosis.
【作者單位】： 鄭州人民醫(yī)院醫(yī)學(xué)影像科;鄭州市第三人民醫(yī)院腫瘤科;
【分類號】：R730.44;R734.3
【正文快照】： 孤立性纖維瘤是一種少見的梭形細胞腫瘤,可發(fā)生于全身多部位,包括顱腦、面頸、涎腺、胸部、腹部、乳腺、中樞神經(jīng)系統(tǒng)、軟組織等[1-2],其中以胸部相對多見,可起源于胸膜、肺和縱隔,尤其好發(fā)于臟層胸膜。國內(nèi)關(guān)于胸膜孤立性纖維瘤(solitary fibrous tumor ofthe pleura,SFTP)影，

本文編號：1343658