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青石棉所致胸膜间皮瘤CT分析

CT Analysis of Pleura Mensothelioma Caused by Crocidolite

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【作者】 张继华刘明智韩丹

【Author】 ZHANG Ji-hua , LIU Ming-zhi , HAN Dan (Department of CT , the People’s Hospital in Dayao , Yunnan Province 675400,China)

【机构】 云南省大姚县人民医院CT室昆明医学院附属第一医院影像科 云南大姚675400云南大姚675400

【摘要】 目的分析因环境接触青石棉所致胸膜间皮瘤病例的CT征象。方法对55例经证实的胸膜间皮瘤病例CT表现进行回顾性分析。结果在55例中,局限型胸膜间皮瘤1例并恶变,伴少量胸水;弥漫型胸膜间皮瘤54例,其中无胸水13例,少或中等量胸水30例,大量胸水11例。右下胸膜间皮瘤伴对侧胸水4例。CT表现为胸膜增厚>2cm,呈花边状、结节状或软组织肿块,增强有强化。结论CT对确定胸膜间皮瘤部位、范围及随访方面作用较大。

【Abstract】 Objective To analyse CT findings of pleural mensothelioma caused by crocodolite in their living environment.Methods CT findings of malignant pleural mensothelioma in 55 cases were reviewed and analyzed retrospectively.Results Of 55 cases there were localized pleural mensothelioma in 1 accompanied with less pleural effusion and malignant diffuse pleural mensothelioma in 54 ,of which 13 cases had no pleural effusion,30 cases had less or more effusion and 11 cases had a large amount of pleural effusion.In 4 cases,mensotheliomas localized in low-right thorax accompanied pleural effusion in left thorax.The CT findings of these four patients were pleural thickening more than 2 cm.The lesion was manifested as decorative border,nodule and mass of soft tissue and there was much enhancement.Conclusion CT scan is very helpful in detecting the location,extent of pleural mensothelioma and follow-up of patients.

  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2005年06期
  • 【分类号】R734.3
  • 【被引频次】13
  • 【下载频次】122
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