CAJ | 학술논문

目的：探讨炎性肌纤维母细胞瘤影像学特征，提高对本病的认识和诊断。方法收集我院经病理证实的炎性肌纤维母细胞瘤7例，行强化CT检查，结合患者临床病例资料与相关文献报道进行回顾性诊断分析。结果7例中男性3例，女性4例，中位年龄42岁，病灶均为单发，腹膜后3例，右下腹小肠系膜、左侧髂窝区、右肺及左腹股沟区各1例，临床表现依据肿块发生的部位不同而有不同的表现：腰痛3例，腹痛及腹部肿块2例，咳嗽及下肢肿胀各1例，发热3例， CT平扫均呈实性软组织密度肿块，密度均匀或不均匀，大部分边界较清，增强后均呈不均质强化或明显持续强化，除右肺肿块外，其余6例肿块均不同程度包绕临近动静脉血管，动脉血管管腔通.，无或略狭窄，血管管壁无破坏，静脉血管多受压移位、狭窄或闭塞，2例伴有局部淋巴结肿大。结论炎性肌纤维母细胞瘤的影像学表现多样，缺乏特异性，确诊仍依赖于病理及免疫组化检查，CT检查能明确肿块的部位、累及的范围、周边浸润的程度、内部结构等，为手术方式的选择提供有效的指导，并对术后复查随访提供重要的参考价值。
목적：탐토염성기섬유모세포류영상학특정，제고대본병적인식화진단。방법수집아원경병리증실적염성기섬유모세포류7례，행강화CT검사，결합환자림상병례자료여상관문헌보도진행회고성진단분석。결과7례중남성3례，녀성4례，중위년령42세，병조균위단발，복막후3례，우하복소장계막、좌측가와구、우폐급좌복고구구각1례，림상표현의거종괴발생적부위불동이유불동적표현：요통3례，복통급복부종괴2례，해수급하지종창각1례，발열3례， CT평소균정실성연조직밀도종괴，밀도균균혹불균균，대부분변계교청，증강후균정불균질강화혹명현지속강화，제우폐종괴외，기여6례종괴균불동정도포요림근동정맥혈관，동맥혈관관강통.，무혹략협착，혈관관벽무파배，정맥혈관다수압이위、협착혹폐새，2례반유국부림파결종대。결론염성기섬유모세포류적영상학표현다양，결핍특이성，학진잉의뢰우병리급면역조화검사，CT검사능명학종괴적부위、루급적범위、주변침윤적정도、내부결구등，위수술방식적선택제공유효적지도，병대술후복사수방제공중요적삼고개치。
Objective To enplore the imaging feature of inflamma myfibroblastic tumor and to improve the diagnostic knowledge of it .Methods Clinical data about 7 patients with inflamma myfibroblastic tumor admitted to our hospital were retrospectively analyzed with its related literature review .Results The middle age of the 7 patients (3 males and 4 fe‐males) with inflamma myfibroblastic tumor included in this study was 42 years .All were the single focus and different place had different main clinical manifestations in patients .CT showed tissue density lump with uniformity or nonuniform density ,almost had the boundary of the clear .CT enhanced scan showed obvious or nonuniform enhancement .Except lung case ,six case showed different degree of wrapping the blood vessel ,Artery were non apparent abnormality and vein was obviously crush .Conclusion Inflamma myfibroblastic tumor has no specific imaging manifestations ,and is diagnosed according to its pathology .CT can offer the relative information of focus ,so that it can help for the treatment and follow‐up survey .