發(fā)布時(shí)間：2018-03-13 23:33

  本文選題：胸部腫瘤　切入點(diǎn)：細(xì)胞性神經(jīng)鞘瘤　出處：《臨床放射學(xué)雜志》2017年06期 　論文類型：期刊論文

【摘要】：目的探討胸部細(xì)胞性神經(jīng)鞘瘤的臨床及CT表現(xiàn),提高對該病的認(rèn)識(shí)。方法回顧性分析經(jīng)手術(shù)病理證實(shí)的7例細(xì)胞性神經(jīng)鞘瘤患者的臨床資料及CT表現(xiàn)。結(jié)果男4例,女3例。年齡38~66歲,中位年齡52歲。4例出現(xiàn)胸痛、咳嗽等癥狀,3例無任何癥狀,體檢偶然發(fā)現(xiàn)。腫瘤位于后上縱隔2例,中縱隔1例,胸壁4例。7例細(xì)胞性神經(jīng)鞘瘤在CT上主要表現(xiàn)為孤立性軟組織密度腫塊,囊實(shí)性2例,實(shí)性5例;大小4.3~7.8 cm,中位直徑5.6 cm;6例呈圓形或橢圓形,1例不規(guī)則,沿肋骨方向延長,邊緣有分葉。平掃1例呈低密度,密度不均勻。增強(qiáng)掃描強(qiáng)化不均勻,強(qiáng)化程度不一,輕至中度強(qiáng)化。鄰近肺組織受壓2例;肋骨受壓弧形切跡2例;骨質(zhì)破壞2例,其中1例伴有胸腔積液。結(jié)論 CT可以清楚顯示胸部細(xì)胞性神經(jīng)鞘瘤的形態(tài)學(xué)特征和周圍結(jié)構(gòu)受累情況。結(jié)合病史和臨床資料,可提高術(shù)前診斷準(zhǔn)確率,選擇更合適的治療方法。
[Abstract]:Objective to investigate the clinical and CT manifestations of thoracic neurilemmoma and to improve the understanding of the disease. Methods the clinical data and CT findings of 7 cases of cytosolic neurilemmoma proved by surgery and pathology were retrospectively analyzed. Three cases were female. The age was 38 ~ 66 years old, the median age was 52 years old, 4 cases had chest pain, 3 cases had no symptoms such as cough, and the physical examination found that the tumor was located in the posterior mediastinum in 2 cases, and in the middle mediastinum in 1 case. On CT scan, 7 cases of chest wall neurilemmoma mainly showed solitary soft tissue mass, cystic solid mass in 2 cases, solid mass in 5 cases, diameter of 4.3 ~ 7.8 cm, median diameter of 5.6 cm in 6 cases, irregular in 1 case and lengthened along rib direction in 1 case. The edge was divided into lobes. Plain scan showed low density and uneven density in 1 case. Enhancement was uneven with different degree of enhancement. Adjacent lung tissue was compressed in 2 cases, rib compression arc notch in 2 cases, bone destruction in 2 cases, bone destruction in 2 cases, bone destruction in 2 cases, adjacent lung tissue compression in 2 cases, rib compression in 2 cases, bone destruction in 2 cases, bone destruction in 2 cases. Conclusion CT can clearly show the morphological features and the surrounding structure involvement of the thoracic cellular neurilemmoma. Combined with the history and clinical data, the accuracy of preoperative diagnosis can be improved. Choose a more appropriate treatment.
【作者單位】： 蘇州大學(xué)醫(yī)學(xué)部;同濟(jì)大學(xué)附屬上海市肺科醫(yī)院影像科;
【分類號(hào)】：R730.44;R739.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前1條

1 張婷;;1例骶部細(xì)胞性神經(jīng)鞘瘤患者的圍手術(shù)期護(hù)理[J];中國醫(yī)學(xué)創(chuàng)新;2010年16期

，

本文編號(hào)：1608636