摘要
目的总结肺肉芽肿性病变的CT影像特点及鉴别诊断方法。方法对40例经病理检查确诊为肺肉芽肿性病变患者的CT影像资料进行回顾性分析。结果病灶部位:左肺21例、右肺35例。25例单发、15例多发。病灶直径为1.0～6.0 cm不等。病灶形态:不规则状团块影24例、圆形或类圆形块影8例、结节状影8例。病灶边缘:不清楚26例、清楚14例。CT扫描病灶呈均匀性强化25例,呈不均匀性强化15例。此外4例合并纵隔淋巴结肿大,5例合并胸腔积液。结论肺肉芽肿性病变的CT影像学特点复杂多样,诊断时需仔细分析图像特点并结合病史和临床表现。
Objective To summarize the CT image features and differential diagnosis of pulmonary granulomatous lesions.Methods All CT images of 40 cases with pathologically diagnosed pulmonary granulomatous lesions were retrospectively analyzed.Results The lesions located in left lung in 21 cases,in right lung in 35 cases.25 cases presented with solitary lesion and the remaining 15 cases showed multiple lesions.The diameters of lesions ranged from 1 to 6 centimeters.The shapes of lesions presented diversiform including irregular mass in 24 cases,rounds or oval mass in 8 cases,small nodule in 8 cases.The lesions showed clear margins in 14 cases and blurred margins in 26 cases.The lesions demonstrated inhomogeneous enhancement in 15 cases,homogeneous enhancement in 25 cases on CT contrast-enhanced scan images.In addition,the lymph node enlargement in the mediastinum and the pleural effusion were respectively found in 4 cases,5 cases.Conclusion The CT image manifestations of pulmonary granulomatous lesions are diverse and complicated.Careful analyses of the images in combination with references of clinical history are helpful to make the diagnosis.
出处
《实用癌症杂志》
2011年第6期621-623,共3页
The Practical Journal of Cancer
