CAJ | 학술논문

目的：探讨前纵隔常见肿瘤的临床、病理及影像学特点。方法：回顾性分析经手术、穿刺活检病理证实的前纵隔肿瘤48例，并结合临床、病理资料进行对照分析。结果：胸腺瘤占50％（24例），均位于前上纵膈，11例可见囊变、坏死区或钙化，增强后呈轻度或不均匀强化。畸胎瘤占23％（11例），前上纵隔5例，前下纵隔6例，以囊实性为主，其内可见软组织、液体、脂肪及钙化成份，囊壁及实性成份呈轻中度强化。淋巴瘤17％（8例），可见多个结节样软组织融合呈团块状肿物，2例见坏死、囊变区，呈轻度强化或无强化。胸内甲状腺肿6％（3例）。心包囊肿4％（2例）。结论：依据前纵隔常见肿瘤发病部位、密度以及周围组织结构的关系，结合患者年龄伴随体征等特征，可提高前纵隔肿瘤的诊断与鉴别诊断准确率。
목적：탐토전종격상견종류적림상、병리급영상학특점。방법：회고성분석경수술、천자활검병리증실적전종격종류48례，병결합림상、병리자료진행대조분석。결과：흉선류점50％（24례），균위우전상종격，11례가견낭변、배사구혹개화，증강후정경도혹불균균강화。기태류점23％（11례），전상종격5례，전하종격6례，이낭실성위주，기내가견연조직、액체、지방급개화성빈，낭벽급실성성빈정경중도강화。림파류17％（8례），가견다개결절양연조직융합정단괴상종물，2례견배사、낭변구，정경도강화혹무강화。흉내갑상선종6％（3례）。심포낭종4％（2례）。결론：의거전종격상견종류발병부위、밀도이급주위조직결구적관계，결합환자년령반수체정등특정，가제고전종격종류적진단여감별진단준학솔。
tumors were solid mass with cystic mass,tumor necrosis areas or calcifications (n =11),mild or uneven enhancement on post -contrast CT.23% of patients were teratoma.5 located on the front supper mediastinum and 6 located on the front lower mediastinum.The tumors were mainly cystic -solid mass and soft tissue,liquid,fat and calcification ele-ments were also among them.Mild -to -moderate reinforcement on post -contrast CT.17% of patients were lympho-ma,multiple nodular soft tissue fusion conglobation block mass.2 showed tumor necrosis areas and cystic -solid mass,mild -to -moderate reinforcement on post -contrast CT.6% of patients were intra mediastinum struma,4%pericardial cyst.Conclusion:Imaging characteristics and clinical manifestations and pathological features of anterior mediastinal tumors are helpful in the diagnosis and differential diagnosis of anterior meditational tumors.