CAJ | 학술논문

目的：分析胸膜孤立性纤维瘤（SFTP）的多层螺旋CT（MSCT）的表现，以进一步提高其诊断准确率。方法回顾性分析13例经手术病理证实为SFTP的MSCT表现，观察病灶的影像学特征、平扫和增强特点。结果13例病灶均为单发，紧贴胸膜，直径1.8?~?20.6?cm，4例直径大于10?cm。MSCT上肿瘤为类圆形，边缘见浅分叶，边界清晰；密度多数均匀，呈实性软组织肿块；5例伴囊变、坏死且密度不均，3例见小钙化。13例病灶均无出血。多期增强扫描10例均匀轻—中度延迟性强化，3例明显不均匀强化；6例病灶见强化的扭曲小血管。结论 SFTP的MSCT表现具有一定的特征，结合临床表现，有助于其正确诊断。
목적：분석흉막고립성섬유류（SFTP）적다층라선CT（MSCT）적표현，이진일보제고기진단준학솔。방법회고성분석13례경수술병리증실위SFTP적MSCT표현，관찰병조적영상학특정、평소화증강특점。결과13례병조균위단발，긴첩흉막，직경1.8?~?20.6?cm，4례직경대우10?cm。MSCT상종류위류원형，변연견천분협，변계청석；밀도다수균균，정실성연조직종괴；5례반낭변、배사차밀도불균，3례견소개화。13례병조균무출혈。다기증강소묘10례균균경—중도연지성강화，3례명현불균균강화；6례병조견강화적뉴곡소혈관。결론 SFTP적MSCT표현구유일정적특정，결합림상표현，유조우기정학진단。
ObjectiveTo?analyze?the?multi-slice?CT(MSCT)findings?of?solitary?fibrous?tumor?of?the?pleura(SFTP)to?investigate?the?potential?of?further?improving?its?detection?and?diagnosis.?Methods The?MSCT?findings?and?clinical?data?of?13?cases?of?pathologically?confirmed?SFTP?were?analyzed?retrospectively.?The?features?of?the?tumor?appreance?on?the?images?were?evaluated.?Results ?13?lesions?were?all?single,?close?to?the?pleura,?with?1.8?~?20.6?cm?in?diameters,?among?which?4?tumors?have?a?diameter?of?more?than?10?cm.?On?plain?MSCT?scans?the?tumors?were?roundish?with?mild?lobulated?and?clear?boundary;?the?density?were?mostly?homogeneous?indicating?solid?soft?tissue?mass.?5?tumors?appeared?to?haveinhomogenous??density?with?cystic?change?and?necrosis,?3?tumors?contained??small?calcification.?10?tumors?appeared?homogeneous?with?mild?to?moderately?delayed?enhancement?while?3?tumors?have?obviously?heterogeneous?enhancement?on?multi-phase?enhancement?scanning.?And?enhanced?and?tortuous?small?vessels?were?observed?in?6?lesions.?Conclusion The?MSCT?of?SFTP?showed?certain?characteristics.?When?combined?with?clinical?manifestation,?it?can?help?to?achieve?correct?diagnosis.