海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2015年
10期
1451-1453
,共3页
不典型%胸腺囊肿%CT体层摄影%鉴别诊断
不典型%胸腺囊腫%CT體層攝影%鑒彆診斷
불전형%흉선낭종%CT체층섭영%감별진단
Atypical%Thymic cyst%Computed Tomography (CT)%Differential diagnosis
目的:通过对不典型胸腺囊肿的CT表现分析,达到提高该病诊断水平的目的。方法回顾性分析经手术病理证实的15例不典型胸腺囊肿CT表现。结果与常见胸腺囊肿比较,位置异常共计8例,其中2例位于中纵隔,3例位于前中纵隔,3例位于前下纵隔;囊肿形态异常9例;囊液密度异常5例,均高于水密度;8例增强后其中7例囊肿未见明显强化,胸腺囊肿合并胸腺癌1例,软组织成分中度不均匀强化。结论胸腺囊肿大部分通过CT表现分析可以正确诊断,不典型囊肿者需要与其他疾病进行鉴别。
目的:通過對不典型胸腺囊腫的CT錶現分析,達到提高該病診斷水平的目的。方法迴顧性分析經手術病理證實的15例不典型胸腺囊腫CT錶現。結果與常見胸腺囊腫比較,位置異常共計8例,其中2例位于中縱隔,3例位于前中縱隔,3例位于前下縱隔;囊腫形態異常9例;囊液密度異常5例,均高于水密度;8例增彊後其中7例囊腫未見明顯彊化,胸腺囊腫閤併胸腺癌1例,軟組織成分中度不均勻彊化。結論胸腺囊腫大部分通過CT錶現分析可以正確診斷,不典型囊腫者需要與其他疾病進行鑒彆。
목적:통과대불전형흉선낭종적CT표현분석,체도제고해병진단수평적목적。방법회고성분석경수술병리증실적15례불전형흉선낭종CT표현。결과여상견흉선낭종비교,위치이상공계8례,기중2례위우중종격,3례위우전중종격,3례위우전하종격;낭종형태이상9례;낭액밀도이상5례,균고우수밀도;8례증강후기중7례낭종미견명현강화,흉선낭종합병흉선암1례,연조직성분중도불균균강화。결론흉선낭종대부분통과CT표현분석가이정학진단,불전형낭종자수요여기타질병진행감별。
Objective To characterize the imaging features of thymic cyst and gain a better understanding of atypical manifestations of thymic cyst, in order to improve the level of diagnosis. Methods The CT images of 15 his-topathologically proved cases of atypical thymic cyst were retrospectively reviewed. Results Of 15 cases of thymic cysts, 8 cases were located in the unusual place, with 2 cases in the middle mediastinum, 3 cases in anterior middle me-diastinum, and 3 cases in anterior inferior mediastinum. Nine cases were found in unusual shapes, and 5 were found with abnormal density (greater than water). Among the eight cases after contrast administration, only one case was combined with thymic carcinoma, and the soft tissue had moderate enhancement. Other cases showed no enhance-ment. Conclusion Most of the thymic cysts could be diagnosed referring to their features on CT. Atypical thymic cyst should be differentiated with other mediastinal cysts.