实用医学影像杂志
實用醫學影像雜誌
실용의학영상잡지
JOURNAL OF PRACTICAL MEDICAL IMAGING
2015年
2期
114-116
,共3页
肺硬化性血管瘤%体层摄影术,螺旋计算机%病理学,临床
肺硬化性血管瘤%體層攝影術,螺鏇計算機%病理學,臨床
폐경화성혈관류%체층섭영술,라선계산궤%병이학,림상
Pulmonary sclerosing hemangioma%Tomography,spiral computed%Pathology,clinical
目的:研究肺硬化性血管瘤(PSH)的CT征象与临床病理特征,提高对PSH的认识水平。方法收集2007—2013年我院经手术病理证实的PSH 20例。分别回顾性总结分析其CT影像资料及PSH病理资料。CT的评价征象包括病变形态、密度、边缘、分布位置及增强前后CT值的差值。PSH病理资料包括组织形态结构与细胞学形态。结果20例PSH的CT均表现为单发、边缘清楚的圆形或是类圆形肿块,12例行增强扫描者均表现均匀显著强化。20例PSH均未发现肺门及纵隔淋巴结肿大,肺内亦未见转移灶。显微镜下,PSH主要由实体型、乳头型、硬化型和血管瘤型4种组织学形态,单个瘤体包括至少2种或2种以上组织形式。结论了解PSH的CT与病理特征,有利于提高对PSH的认识与诊断正确率。
目的:研究肺硬化性血管瘤(PSH)的CT徵象與臨床病理特徵,提高對PSH的認識水平。方法收集2007—2013年我院經手術病理證實的PSH 20例。分彆迴顧性總結分析其CT影像資料及PSH病理資料。CT的評價徵象包括病變形態、密度、邊緣、分佈位置及增彊前後CT值的差值。PSH病理資料包括組織形態結構與細胞學形態。結果20例PSH的CT均錶現為單髮、邊緣清楚的圓形或是類圓形腫塊,12例行增彊掃描者均錶現均勻顯著彊化。20例PSH均未髮現肺門及縱隔淋巴結腫大,肺內亦未見轉移竈。顯微鏡下,PSH主要由實體型、乳頭型、硬化型和血管瘤型4種組織學形態,單箇瘤體包括至少2種或2種以上組織形式。結論瞭解PSH的CT與病理特徵,有利于提高對PSH的認識與診斷正確率。
목적:연구폐경화성혈관류(PSH)적CT정상여림상병리특정,제고대PSH적인식수평。방법수집2007—2013년아원경수술병리증실적PSH 20례。분별회고성총결분석기CT영상자료급PSH병리자료。CT적평개정상포괄병변형태、밀도、변연、분포위치급증강전후CT치적차치。PSH병리자료포괄조직형태결구여세포학형태。결과20례PSH적CT균표현위단발、변연청초적원형혹시류원형종괴,12례행증강소묘자균표현균균현저강화。20례PSH균미발현폐문급종격림파결종대,폐내역미견전이조。현미경하,PSH주요유실체형、유두형、경화형화혈관류형4충조직학형태,단개류체포괄지소2충혹2충이상조직형식。결론료해PSH적CT여병리특정,유리우제고대PSH적인식여진단정학솔。
Objective To recognize pulmonary sclerosing hemanagioma(PSH) by investigated its CT and clini-copathologic characters. Method Data of 20 cases with PSH, all of which were confirmed pathologically, were col-lected and reviewed, including their clinical symptoms, CT features, and the pathological findings of PSH. Results The PSH presented as solitary, well-circumscribed, round or oval nodules or masses on CT pictures in all of the 20 cases. 12 of the 20 lesions were strong and homogenous enhancement on contrast enhanced CT scans. There were not hilar and mediastinal lymph node enlargement and lung metastatic tumor in all 20 patients. Under a microscope, PSH was composed of four histologic components-namely, solid, papillary, sclerotic and hemangiomatous. A neoplasm had at least two of them. Conclusion It is favourable to recognizing PSH that investigated its CT and clinicopathologic characters.