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肺错构瘤CT病例及影像诊断总结!

2018-07-02 佚名 影像园

最常见的肺良性肿瘤。组织学上表现为成熟肺内组织(主要有软骨、脂肪、纤维结缔组织及上皮样裂隙等成分)异常排列,60%的肺错构瘤内含有脂肪和钙化,无恶变倾向。临床常无症状,多在体检时发现。

CASE 1



特点:边缘光滑锐利;内部块状钙化。

CASE 2



特点:边缘光滑,轻度分叶;软组织密度,增强轻度强化。

CASE 3



特点:体积大而规则,边缘光滑;内部爆米花样钙化。

CASE 4



特点:肺门巨大肿块,支气管受包绕但未闭塞;内部块状钙化。
 
相关知识: 

最常见的肺良性肿瘤。组织学上表现为成熟肺内组织(主要有软骨、脂肪、纤维结缔组织及上皮样裂隙等成分)异常排列,60%的肺错构瘤内含有脂肪和钙化,无恶变倾向。临床常无症状,多在体检时发现。根据发生部位可分为周围型和中央型;按病理成分可分为纤维型和软骨型。发病男性多于女性,为2.5∶1。

CT表现特点:

① 好发部位为胸膜下肺实质内,病灶多小于5cm;
② 边缘光滑,多呈圆形或类圆形,可有分叶征;
③ 多为软组织密度结节,其内可见脂肪和钙化(弧状、环状、粗点状或爆米花状)。
⑤ 增强后无强化或仅轻度强化。
 
鉴别:

肺癌:形状不规整,多有分叶和毛刺征,增强后有强化;
② 结核球:由纤维包膜包裹干酪样物质所构成,内部可见点状或斑片状钙化,多位于上叶尖后段和下叶背段,周围多有卫星灶,局部胸膜多增厚或粘连。
③ 炎性假瘤:病灶内可见单个或多个小空洞,边缘可有粗长毛刺。

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    2018-07-03 易水河

    很好的学习资料

    0

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    2018-07-02 1201e5c5m39暂无昵称

    学习了

    0

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