肺炎性肌纤维母细胞瘤的CT影像表现及病理对照

发布时间：2018-01-08 11:28

本文关键词：肺炎性肌纤维母细胞瘤的CT影像表现及病理对照　出处：《临床放射学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨肺部炎性肌纤维母细胞瘤(IMT)的CT表现及诊断价值。方法回顾性分析10例经穿刺或手术病理证实的肺部IMT的CT表现及临床表现,9例行CT平扫及增强扫描,1例行CT平扫。结果 10例病灶均为单发。9例位于右肺,其中8例位于肺外带,表现为不规则肿块,4例可见"晕征";1例位于左肺,表现为实性小结节影,境界清晰。2例病灶合并邻近肺组织不张,4例病灶可见不同程度的囊变、坏死,4例病灶与邻近胸膜黏连。1例病灶中可见点状钙化,1例病灶可见"脐凹征"。7例表现为不均匀强化,1例表现为均匀强化。结论肺IMT的CT表现多种多样,无明显特异性,结合临床病史、CT影像学表现及实验室检查全面分析有助于提高肺IMT诊断的准确性。
[Abstract]:Objective to investigate the pulmonary inflammatory myofibroblastic tumor (IMT) CT manifestations and diagnostic value. Methods Retrospective analysis of 10 cases of clinical manifestations and CT findings of biopsy or surgery and pathology of lung IMT, 9 cases underwent CT scan and enhanced scan, 1 cases underwent CT scan. Results 10 cases were single lesions.9 were located in the right lung, 8 of which were located in the lung periphery, manifested as irregular mass, 4 cases showed "halo sign"; 1 cases in the left lung, showed solid nodules with clear boundary lesions in.2 patients with adjacent lung atelectasis, 4 cases showed different degrees of cystic degeneration. Necrosis, lesions of 4 cases with pleural adhesions punctate calcification in.1 cases,.7 cases showed enhanced lesions were showed in 1 cases of "notch sign" is not uniform, 1 cases showed homogeneous enhancement. Conclusion the pulmonary IMT CT varied, nonspecific, combined with clinical history, examination of comprehensive analysis CT imaging findings and laboratory It helps to improve the accuracy of lung IMT diagnosis.

【作者单位】：南京军区南京总医院医学影像科;南京中医药大学附属医院放射科;
【分类号】：R730.44;R734.2
【正文快照】： 作者单位:210002南京军区南京总医院医学影像科(陶磊、卢光明);南京中医药大学附属医院放射科(崔文静);*通讯作者的MR灌注成像对照研究[J].临床放射学杂志,2008,27:1151-1158.4 Yang Z,Feng P,Wen T,et al.Differentiation of glioblastoma andlymphoma using feature extract

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