艾滋病合并肺部卡波西肉瘤的CT表现

发布时间：2018-04-03 07:06

本文选题：获得性免疫缺陷综合征　切入点：肉瘤　出处：《放射学实践》2015年09期

【摘要】：目的:探讨艾滋病合并肺部卡波西肉瘤的CT表现及特征。方法:回顾性分析19例艾滋病合并肺部卡波西肉瘤患者的临床及胸部CT表现。结果:19例艾滋病合并肺部卡波西肉瘤患者中,发现双肺内多发结节影16例,多发斑片状实变影8例;其中肺内结节影均沿支气管血管束分布。双肺支气管血管束增厚9例,同时合并小叶间隔增厚。纵隔淋巴结肿大10例,9例发现少量胸水,均累及双侧胸腔。19例患者均未发现病变累及段以上支气管内壁。17例患者发现卡波西肉瘤时,体内CD4+T淋巴细胞计数低于100个/UL。结论:艾滋病合并肺部卡波西肉瘤患者胸部CT表现以双肺各叶多发结节影和斑片状实变影多见,肺内结节影多沿支气管血管束分布;斑片状实变影形态多不规则,类似火焰状为其特征性改变。
[Abstract]:Objective: to investigate the CT features of AIDS complicated with Kaposi's sarcoma.Methods: the clinical and chest CT findings of 19 AIDS patients with Kaposi's sarcoma were retrospectively analyzed.Results among 19 AIDS patients with Kaposi's sarcoma of the lung, 16 cases were found to have multiple nodules in both lungs and 8 cases to have multiple plaques of consolidation, in which pulmonary nodules were distributed along the bronchovascular bundle.Double lung bronchovascular bundle thickening was found in 9 cases, accompanied by interlobular septal thickening.A small amount of pleural effusion was found in 10 patients with mediastinal lymphadenopathy and 9 patients with mediastinal lymphadenopathy. None of the 19 patients with mediastinal lymphadenopathy and bilateral pleural cavity were found with Kaposi's sarcoma. When Kaposi's sarcoma was found in 17 patients, the CD4 T lymphocyte count was less than 100 / UL.Conclusion: the chest CT findings of AIDS patients with Kaposi's sarcoma of the lung are more than those of multiple nodules and patches of the lobes of the lungs, and the nodules in the lungs are distributed along the bronchovascular bundles, and the patchy solid shadows are irregular in shape.Similar flame shape is its characteristic change.
【作者单位】：深圳市第三人民医院放射科;复旦大学附属上海市公共卫生临床中心影像科;首都医科大学附属北京市地坛医院放射科;
【分类号】：R512.91;R734.2;R730.44

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