摘要
目的:探讨孤立性纤维瘤性肿瘤的CT表现,提高对本病的认识与诊断水平。方法:回顾性分析15例经手术病理证实的孤立性纤维瘤性肿瘤的CT表现。结果:①胸腔8例(6例起源于脏层胸膜、2例起源于壁层胸膜),右肺1例,腹腔1例,盆腔2例,右鼻腔、左上颚及左上臂各1例。②肿瘤呈卵圆形7例,类圆形5例,铸型样2例,圆锥形1例;8例胸腔病灶宽基底贴附于胸膜、塑形性生长、4例跨叶间裂。③肿瘤边缘光整,12例有浅分叶,6例密度不均匀,4例可见钙化。④增强扫描6例见丰富的肿瘤血管,9例见"地图样"强化、其内均可见"多发结节状"强化,延迟强化。④3例伴胸腔积液,2例伴邻近压迫性肺不张,1例伴邻近肋骨骨膜增生。结论:孤立性纤维性肿瘤的CT表现具有一定的特征,正确认识其CT影像学特点,可对大多数病例做出正确诊断。
Purpose： To investigate the specific CT findings of solitary fibrous tumor ,and to improve the ability in understanding and diagnosing of this disease. Method： CT features of solitary fibrous tumor confirmed by surgery and pathology in 15 cases were retrospectively analyzed. Results： （1） Eight of 15 patients with solitary fibrous tumor were located in the chest, 6 originated from visceral pleura and 2 originated from parietal pleura, 1 in right lung, 1 in intra-abdominal, 2 in pelvis, 1 in upper arm, 1 in nasal cavity and 1 in palate. （2）The shape of tumor was orbicular-ovate in 7 cases, round or oval in 5 cases, casting mold in 2 cases, gourd-shaped conic in 1 case; with wide base connected to the pleura in 8 cases of the solitary fibrous tumor in the chest, 4 with straddling lobe distribution. （3） CT findings were well-difined and smooth contour in all masses. Tumors were shallow lobulated in 12 cases. Six cases showed heterogeneous density. Calcification was found in 4 cases. （4） After enhanced scan, 6 cases showed abundant tumor vessels, 9 cases showed geographic pattern enhancement and multiple nodular enhancement, and remarkable contrast enhancement was also shown in delayed phase. （5） Pleural effusion in 3 cases, compressed atelectasis in 2 cases, costal bone hyperplasia in 1 cases. Conclusion： CT can reveal the characteristic findings of solitary fibrous tumor, correctly understand these can help us to make the correct diagnosis in most cases.
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2013年第6期504-508,共5页
Chinese Computed Medical Imaging
