肺硬化性血管瘤的CT表现及误诊分析

发布时间：2018-03-28 21:39

本文选题：肺硬化性血管瘤　切入点：体层摄影术　出处：《医学影像学杂志》2016年01期

【摘要】：目的探讨肺硬化性血管瘤的CT表现,以提高诊断准确性。方法收集19例经病理证实的肺硬化性血管瘤的临床、病理及CT资料。结果 19例肺硬化性血管瘤共22个病灶。中央型1例,周围型18例,其中肺门旁3例,外围15例。多发毛玻璃密度1例,软组织密度18例。18例边缘规整,7例可见浅分叶征,4例密度不均匀。8例不均匀强化,其中明显强化者10例,中度强化者6例,轻度强化者3例,10例可见贴边血管征,4例可见晕征,1例可见空气新月征,5例内可见点状钙化。右肺上叶4例,右肺中叶2例,右肺下叶5例,左肺上叶1例,左肺下叶3例,跨叶分布2例,多发2例,2例伴纵隔淋巴结肿大。结论肺硬化性血管瘤的CT表现具有一定特征,结合临床发病年龄、性别、病理学特征等,有助于减少误诊。
[Abstract]:Objective to investigate the CT findings of sclerosing hemangioma of the lung in order to improve the diagnostic accuracy. Methods 19 cases of pulmonary sclerosing hemangioma proved by pathology were collected. Results there were 22 lesions in 19 cases of pulmonary sclerosing hemangioma, 1 case of central type and 18 cases of peripheral type, including 3 cases of pulmonary hilar, 15 cases of peripheral, 1 case of multiple fundus density, 1 case of multiple fiberglass density, 1 case of central type and 18 cases of peripheral type. Soft tissue density was observed in 18 cases. 7 cases showed superficial lobulation sign, 4 cases showed uneven density enhancement, 10 cases showed obvious enhancement, 6 cases showed moderate enhancement. There were 10 cases of mild enhancement, 4 cases of halo sign, 1 case of air crescent sign, 5 cases of calcification, 4 cases of upper lobe of right lung, 2 cases of middle lobe of right lung, 5 cases of lower lobe of right lung, 1 case of upper lobe of left lung and 3 cases of left lower lobe of lung. Conclusion the CT findings of pulmonary sclerosing hemangioma have some characteristics, and combined with clinical age, sex and pathological features, it is helpful to reduce the misdiagnosis of pulmonary hemangioma by translobar distribution in 2 cases and multiple lesions in 2 cases with mediastinal lymphadenopathy.
【作者单位】：新疆医科大学附属肿瘤医院CT室;石河子大学医学院;
【分类号】：R734.2;R730.44

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