摘要
目的探讨腹部局灶型透明血管型Castleman病(HV-CD)的CT特点。方法回顾性分析9例经临床及病理证实的腹部局灶型HV-CD的MSCT表现。结果 9例均表现为形态规整、边界清晰的孤立性软组织肿块,其中3例病灶内见分支状、斑点状钙化。动态增强扫描9例病灶外周可见迂曲、扩张的滋养血管影;肿块全部或大部分显著强化,随着扫描时间延长,病灶密度逐渐减低且趋向均匀。结论腹部MSCT扫描,病灶表现为孤立性软组织肿块,较大肿块内常见点状及分支状钙化;动态增强扫描病灶外周见滋养血管影,病灶呈明显的持续性、向心性强化,对局灶型HV-CD的定性诊断具有重要的价值。
Objective To evaluate the muhislice computer tomography （MSCT） features of the localized hyaline vascular variant Casfleman＇s disease （ HV CD ） in abdomen. Methods MSCT findings of 9 patients with localized HV CD proved by pathology and clinical data were retrospectively analyzed. Results 9 cases showed solitary round or ellipse shaped soft tissue masses with clear edge. 3 lesions showed punctate and arborizing patterns calcifications. All cases presented tortuous and dilated feeder vessels around the lesions in dynamic enhancement scanning, the whole or partial lesionsenhanced obviously and decreased gradually to be closed to uniform when time delayed. Conclusion The MSCT findings of the localized HV CD in abdomen have important value in corrected diagnosis.
出处
《临床放射学杂志》
CSCD
北大核心
2014年第6期886-889,共4页
Journal of Clinical Radiology
