肺硬化性血管瘤的影像学及病理分析

【摘要】 目的分析肺硬化性血管瘤的影像学特点及病理组织起源、免疫组化。方法搜集经病理证实的12例肺硬化性血管瘤患者资料进行回顾性分析。结果胸部X线检查所有病灶均表现为边缘光滑整齐结节或肿块性病变,增强后扫描,病灶强化均匀8例,不均匀4例,螺旋CT动态增强扫描,平扫CT值(27.6±7.9)Hu,最大强化值(77.3±6.2)Hu。病理诊断结果,误诊5例,分别诊断为炎性假瘤2例,肺泡腺瘤1例,类癌1例,误诊率为41.67%。结论胸部X线对肺硬化性血管瘤定位有诊断价值,CT特别是动态增强CT扫描对该病的诊断及鉴别诊断有很高价值。更多还原

【Abstract】 Objective To discuss Imaging and pathological features ofpulmonary sclerosing hemangioma.Methods Collection of 12 pathologically proven cases of pulmonary sclerosing hemangioma were analyzed retrospectively.Results The chest X-ray examination all lesions were shown edge smooth and tidy nodules or masses,enhanced scan,8 cases of lesions enhanced uniform,uniform in 4 cases,the dynamic enhanced spiral CT scanning,scan the CT value(27.6±7.9) Hu,the maximum enhancement of(77.3±6.2) Hu.Pathological diagnosis,misdiagnosis in 5 cases,were diagnosed as inflammatory pseudotumor 2 cases,pulmonary adenomas in 1 cases,1 cases of carcinoid,the misdiagnosis rate was 41.67%.Conclusion Chest X-ray on pulmonary sclerosing hemangioma positioning have diagnostic value,especially CT dynamic enhanced CT scanning in the diagnosis and differential diagnosis of has very high value.更多还原