摘要
目的:分析肺原发性软骨瘤的CT表现,提高对该病的诊断水平。方法:回顾性分析8例肺原发性软骨瘤的临床资料,所有病例均经穿刺活检或手术切除后病理证实。全部病例均行螺旋CT平扫,其中6例行CT增强扫描。结果:8例肺原发性软骨瘤均为单发,其中6例发生于右肺,2例发生于左肺。CT平扫,8例均表现为边界清楚的孤立结节或团块影,未见空洞及周围卫星病灶,3例边缘轻度分叶状,5例边缘或病灶内可见斑点片状钙化,3例无明显钙化;CT增强扫描4例无明显强化,2例呈中度不均匀强化。结论:肺原发性软骨瘤是罕见的肺部良性肿瘤,其CT表现有一定的特征性,需要与肺结核瘤、错构瘤及周围型肺癌等鉴别。
Objective: To study the CT features of primary pulmonary chondroma for improving diagnostic accuracy. Methods:The clinical data of eight patients with primary pulmonary chondroma proved by pathology of surgical specimens or biopsy were analyzed retrospectively. All patients had CT plain scanning, including 6 cases of enhanced scanning. Results: All of the 8 lesions were solitary. Six lesions were in the right lung and 2 in the left lung. CT findings: All lesions were solitary nodule or mass with well defined boundary, without cavity and satellites; 3 lesions had slightly lobular borderl; 5 lesions showed inner or periphery punctate and patchy calcifications, 3 lesions without evident calcifications; in 6 cases of enhanced scanning, 4 lesions had no evident enhancement and 2 lesions demonstrated moderate heterogeneous enhancement. Conclusions: Primary pulmonary chondroma is a rare benign tumor of lung, its CT findings have some characteristics, and should be differentiated from tuberculoma, harmatoma and peripheral lung cancer.
出处
《中国临床医学影像杂志》
CAS
2013年第4期255-258,共4页
Journal of China Clinic Medical Imaging