硬化性肺泡细胞瘤的CT表现

发布时间：2018-05-01 05:34

本文选题：硬化性肺泡细胞瘤 + 体层摄影术　；参考：《临床放射学杂志》2017年02期

【摘要】：目的探讨硬化性肺泡细胞瘤(SP)的CT表现,以提高临床诊断水平。方法回顾性分析16例SP的临床、病理及CT表现。结果男2例,女14例。其中14例(87.5%)≥50岁。15例单发,1例多发。15例病灶光滑。圆形8例,椭圆形5例,浅分叶2例,多发团簇结节状1例。7例"贴边血管征",6例病灶边缘磨玻璃影,2例"鸟蛋-鸟巢征",5例"空气潴留征"。2例患者合并原位腺癌。1例患者穿刺活检病理怀疑微浸润性腺癌或原位腺癌,而随后的手术切除病理标本为SP。1例硬化性血管瘤伴神经内分泌分化(神经内分泌肿瘤)。结论瘤体形态及瘤周的特征性表现对病灶做出良性判断以及鉴别其他肿瘤具有重要的提示作用。
[Abstract]:Objective to investigate the CT findings of sclerosing alveolar cell tumor (SPV) in order to improve the clinical diagnosis. Methods the clinical, pathological and CT findings of 16 cases of SP were retrospectively analyzed. Results there were 2 males and 14 females. Of them, 14 cases (87.5%) were more than 50 years old. 15 cases had multiple lesions and 15 cases had smooth lesions. Round 8 cases, elliptic 5 cases, superficial lobes 2 cases, Multiple cluster nodule in 1 case (7 cases) with "marginal vascular sign" (6 cases) with glass-grafted lesions (2 cases) with "bird's egg nest sign" (5 cases) with "air retention sign" (.2 cases) with in situ adenocarcinoma. 1 case with biopsy suspected microinfiltration. Adenocarcinoma or in situ adenocarcinoma, The pathological specimens were SP.1 cases of sclerosing hemangioma with neuroendocrine differentiation (neuroendocrine tumor). Conclusion the morphology and characteristic features of the tumor play an important role in the diagnosis of benign lesions and the differential diagnosis of other tumors.
【作者单位】：浙江大学医学院附属邵逸夫医院放射科;浙江中医药大学附属嘉兴中医院放射科;
【分类号】：R734.2;R730.44

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