胸部细胞性神经鞘瘤的临床及CT表现

发布时间：2018-03-13 23:33

本文选题：胸部肿瘤　切入点：细胞性神经鞘瘤　出处：《临床放射学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨胸部细胞性神经鞘瘤的临床及CT表现,提高对该病的认识。方法回顾性分析经手术病理证实的7例细胞性神经鞘瘤患者的临床资料及CT表现。结果男4例,女3例。年龄38~66岁,中位年龄52岁。4例出现胸痛、咳嗽等症状,3例无任何症状,体检偶然发现。肿瘤位于后上纵隔2例,中纵隔1例,胸壁4例。7例细胞性神经鞘瘤在CT上主要表现为孤立性软组织密度肿块,囊实性2例,实性5例;大小4.3~7.8 cm,中位直径5.6 cm;6例呈圆形或椭圆形,1例不规则,沿肋骨方向延长,边缘有分叶。平扫1例呈低密度,密度不均匀。增强扫描强化不均匀,强化程度不一,轻至中度强化。邻近肺组织受压2例;肋骨受压弧形切迹2例;骨质破坏2例,其中1例伴有胸腔积液。结论 CT可以清楚显示胸部细胞性神经鞘瘤的形态学特征和周围结构受累情况。结合病史和临床资料,可提高术前诊断准确率,选择更合适的治疗方法。
[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.
【作者单位】：苏州大学医学部;同济大学附属上海市肺科医院影像科;
【分类号】：R730.44;R739.4

【相似文献】