巨淋巴结增生的临床影像学诊断

发布时间：2018-01-02 22:17

本文关键词：巨淋巴结增生的临床影像学诊断　出处：《中国CT和MRI杂志》2016年10期 　论文类型：期刊论文

【摘要】：目的探讨并总结Castleman病的临床及影像表现。方法回顾性分析我院2012年12月-2015年6月病理证实为Castleman病的8例患者的临床及影像资料,并回顾相关文献,总结其临床及影像学特征。6例进行CT平扫及增强扫描,1例行CT平扫,1例行MRI平扫。结果 8例中,男5例,女3例,年龄23-56岁,中位年龄31.5岁。8例病理类型均为透明血管型,均为单中心型。位于纵膈4例,右前胸壁1例,腹膜后1例,盆腔2例CT平扫均表现为单个类圆形或椭圆形的软组织肿块,边界清晰,2例有散在斑点状钙化,1例有点状钙化,1例有囊变坏死等特征;增强扫描均表现为动脉期明显强化,并持续至静脉期和延迟期,其中1例肿块周围或内部可见增粗的血管影;MRI平扫T1WI为等信号,T2WI为明显高信号。结论 Castleman病较少见且易误诊,常表现为良性肿块特征,部分病灶伴有钙化,了解其临床及影像特征有助于检出本病。
[Abstract]:Objective to investigate and summarize the clinical and imaging manifestation of Castleman disease. Methods a retrospective analysis of our hospital in December 2012 June -2015 was confirmed by pathology in 8 cases of Castleman disease in patients with clinical and imaging data, and review the related literature, summarizes the clinical and imaging features of.6 patients with CT scan and enhanced scan, 1 cases underwent CT scan in 1 cases, MRI scan. Results in 8 cases, male 5 cases, female 3 cases, age 23-56 years, median age 31.5.8 cases of pathological types were hyaline vascular type, are single in heart. Located in the mediastinum in 4 cases, 1 cases of right anterior chest wall, 1 cases of retroperitoneal, pelvic cavity 2 CT scan showed a single round or oval soft tissue masses with clear boundary, 2 cases with scattered punctate calcification in 1 cases, 1 cases with calcification, cystic necrosis and other features; enhanced scanning showed obvious enhancement in arterial phase, and continue to the venous phase and delayed phase, which 1 cases of mass around or inside The thickening of blood vessels is seen. MRI scan is an equal signal for T1WI and T2WI is a high signal. Conclusion Castleman disease is relatively rare and easily misdiagnosed. It is usually characterized by benign mass and calcification in some lesions. Understanding its clinical and imaging features is helpful to detect this disease.

【作者单位】：北京大学深圳医院医学影像科;
【基金】：国家科技支撑计划项目(编号:2013BAI07B100)
【分类号】：R551.2;R816.3;R445.2
【正文快照】： 5131.2016.10.041of 8 patients with pathologically proven CD from December 2012 to June 2015,andreview the literature,summarize the clinical and imaging features.6 cases CT scan andenhanced scan,1 case CT scan,only 1 routine MRI scan.Resultsesults 5 cases

【相似文献】