引用本文:朱 勇,王 莉.肺硬化性血管瘤的CT与病理对照分析[J].中国临床新医学,2012,5(12):1143-1146.
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肺硬化性血管瘤的CT与病理对照分析
朱 勇,王 莉
212400 江苏,句容市人民医院放射科(朱 勇);212400 江苏,句容市疾病预防控制中心(王 莉)
摘要:
[摘要] 目的 分析肺硬化性血管瘤(PSH)的CT特征及病理基础,以提高对该病的认识。方法 回顾性分析9例经病理证实的PSH的临床和CT检查资料。结果 PSH多见于40岁女性;表现为直径1~3 cm,境界清晰的圆形、类圆形肺内结节或肿块;CT平扫密度均匀,有时见点片状钙化;CT增强见均匀或不均匀强化,且有延迟强化;相对特殊征象:空气新月征、贴边血管征、晕征等。结论 PSH的CT表现具有一定的特征性,有利于其诊断与鉴别诊断。
关键词:  肺硬化性血管瘤  病理学  计算机体层摄影术
DOI:10.3969/j.issn.1674-3806.2012.12.15
分类号:R 445
基金项目:
Pulmonary sclerosing hemangioma:comparison between CT and pathology
ZHU Yong,WANG Li
Department of Radiology, Jurong People′s Hospital, Jiangsu 212400,China
Abstract:
[Abstract] Objective To improve knowledge of pulmonary sclerosing hemangioma(PSH)and investigate the CT findings correlated with it′s pathologic changes.Methods The clinical date and CT date in 9 patients with PSH proved by pathology were retrospectively analyzed.Results The disease mainly occurred in female patients 40 years old;on CT, the lesion presented as 1~3 cm in diameter well-defined, round and oval shaped mass or nodule;a homogeneous soft-tissue mass on unenhanced CT,calcification was found in some lesions;homogeneous or heterogeneous enhancement after contrast administration;on delayed phase scans, some of them demonstrated late enhancement;the seemingly characteristics:air-trapping zone, vessels at its periphery.Conclusion Although the final diagnosis of PSH depends on pathology, CT is helpful to its diagnosis and differential diagnosis.
Key words:  Pulmonary sclerosing hemangioma(PSH)  Pathology  Computed tomography