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孤立性肋骨嗜酸性肉芽肿的影像诊断

The imaging diagnosis of costal solitary eosinophilic granuloma

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【作者】 崔法冯仕庭

【Author】 CUI Fa*,FENG Shi-ting.*Department of Radiology,The People’s Hospital of Taiping,Dongguan,Guangdong 529300

【机构】 东莞太平人民医院放射科中山大学附属第一医院放射科 523900广东510080广州

【摘要】 目的分析孤立性肋骨嗜酸性肉芽肿影像表现,提高对该病的诊断水平。方法回顾性分析6例孤立性肋骨嗜酸性肉芽肿,所有病例均经穿刺活检或手术切除后病理证实。全部病例均行X线平片检查,3例行螺旋CT平扫检查,其中1例行CT平扫以及增强扫描。结果6例肋骨嗜酸性肉芽肿,4例发生于前肋,类圆形,单房5例,多房1例,3例呈膨胀性骨质破坏,3例呈溶骨性骨质破坏,病灶周围形成软组织肿块。结论X线平片与CT检查相结合,有利于孤立性肋骨嗜酸性肉芽肿的诊断与鉴别诊断。

【Abstract】 Objective To study the imaging features of costal eosinophilic granuloma so as to improve diagnosis accuracy of the disease.Methods The clinical and imaging materials of 6 patients with costal solitary eosinophilic granuloma which were proved by surgery or histopathology were analyzed retrospectively.X-ray plain films were performed in all the cases,CT in 3 cases,2 cases were received CT plain scan and 1 case received both CT plain scan and enhanced CT scan.Results 4 cases of them located in the anterior ribs.All the lesions were round-like and 5 were single cavity and 1 was multiple cavities.3 of them were expansile destruction and 3 were cystic destruction.Soft tissue mass around the lesion was identified.Conclusion X-ray plain films integrating CT play an important role in diagnosis and differential diagnosis of the costal eosinophilic granuloma.

【关键词】 肋骨嗜酸性肉芽肿影像诊断
【Key words】 RibEosinophilic granulomaImagingDiagnosis
  • 【文献出处】 影像诊断与介入放射学 ,Journal of Diagnostic Imaging & Interventional Radiology , 编辑部邮箱 ,2007年02期
  • 【分类号】R816.8
  • 【被引频次】2
  • 【下载频次】133
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