發(fā)布時間：2018-05-01 05:34

  本文選題：硬化性肺泡細(xì)胞瘤 + 體層攝影術(shù)　； 參考：《臨床放射學(xué)雜志》2017年02期

【摘要】：目的探討硬化性肺泡細(xì)胞瘤(SP)的CT表現(xiàn),以提高臨床診斷水平。方法回顧性分析16例SP的臨床、病理及CT表現(xiàn)。結(jié)果男2例,女14例。其中14例(87.5%)≥50歲。15例單發(fā),1例多發(fā)。15例病灶光滑。圓形8例,橢圓形5例,淺分葉2例,多發(fā)團(tuán)簇結(jié)節(jié)狀1例。7例"貼邊血管征",6例病灶邊緣磨玻璃影,2例"鳥蛋-鳥巢征",5例"空氣潴留征"。2例患者合并原位腺癌。1例患者穿刺活檢病理懷疑微浸潤性腺癌或原位腺癌,而隨后的手術(shù)切除病理標(biāo)本為SP。1例硬化性血管瘤伴神經(jīng)內(nèi)分泌分化(神經(jīng)內(nèi)分泌腫瘤)。結(jié)論瘤體形態(tài)及瘤周的特征性表現(xiàn)對病灶做出良性判斷以及鑒別其他腫瘤具有重要的提示作用。
[Abstract]:Objective to investigate the CT findings of sclerosing alveolar cell tumor (SPV) in order to improve the clinical diagnosis. Methods the clinical, pathological and CT findings of 16 cases of SP were retrospectively analyzed. Results there were 2 males and 14 females. Of them, 14 cases (87.5%) were more than 50 years old. 15 cases had multiple lesions and 15 cases had smooth lesions. Round 8 cases, elliptic 5 cases, superficial lobes 2 cases, Multiple cluster nodule in 1 case (7 cases) with "marginal vascular sign" (6 cases) with glass-grafted lesions (2 cases) with "bird's egg nest sign" (5 cases) with "air retention sign" (.2 cases) with in situ adenocarcinoma. 1 case with biopsy suspected microinfiltration. Adenocarcinoma or in situ adenocarcinoma, The pathological specimens were SP.1 cases of sclerosing hemangioma with neuroendocrine differentiation (neuroendocrine tumor). Conclusion the morphology and characteristic features of the tumor play an important role in the diagnosis of benign lesions and the differential diagnosis of other tumors.
【作者單位】： 浙江大學(xué)醫(yī)學(xué)院附屬邵逸夫醫(yī)院放射科;浙江中醫(yī)藥大學(xué)附屬嘉興中醫(yī)院放射科;
【分類號】：R734.2;R730.44

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