腹部局限性Castleman病的CT表现与病理学对照

来源 :中华放射学杂志 | 被引量 : 0次 | 上传用户:cx313
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 探讨Castleman病的CT表现特征。方法  8例Castleman病患者均经手术病理证实 ,均有完整的临床、CT影像和病理资料。回顾性分析其CT和病理特征。结果 病理上包括透明血管型 7例和混合型 1例。CT扫描 7例表现为直径 5~ 15cm的单发巨大软组织肿块 ,1例为肝门区多发的球形病变 ,直径 1~ 4cm。平扫CT值 38~ 49HU(平均 44HU) ,增强扫描早期显著均匀强化 ,CT值高达 114~ 196HU(平均 133HU)。 3例伴有中央区分支状或点状钙化。 8例术前CT均误诊。结论腹部局限性Castleman病绝大多数表现为孤立的明显强化的或伴有中央分支状钙化的肿物 ,CT增强扫描对于明确诊断和临床分型具有重要意义 Objective To investigate the CT features of Castleman’s disease. Methods Eight cases of Castleman’s disease were confirmed by surgery and pathology. All of them had complete clinical, CT images and pathological data. The CT and pathological features were retrospectively analyzed. Results The pathology included 7 cases of clear vessel type and 1 case of mixed type. Seven cases of CT scans showed single giant soft tissue mass with a diameter of 5 ~ 15 cm, and one case was a spherical lesion with a multiple hepatic portal area with a diameter of 1 ~ 4 cm. CT scan 38 ~ 49HU (average 44HU), enhanced significantly enhanced early homogeneous scan, CT value of up to 114 ~ 196HU (average 133HU). 3 cases with central branch or punctate calcification. 8 cases of preoperative CT were misdiagnosed. Conclusion The vast majority of Castleman’s disease localized in the abdomen is isolated or significantly enhanced with central branch-shaped calcification. CT-enhanced scanning is of great significance in the diagnosis and clinical classification
其他文献
生态文明时代的到来,将生态维度带到每个人面前。面对生活,我们探索一切问题都不可能绕开这个维度。然而,在现有的文本解读中,生态批评一直处于缺位状态。作为一种整体、关联的文学批评观,在文本解读中恰当的运用生态批评的理论,可以走出单一诠释学的解读困境。  一、文本解读的生态活性  “文本解读作为一种意义再创和开放性的动态建构活动,总要因历史、时代、主观局限性而需要不断开拓和深化。对文本意义的理解和解释会