目的:探討少見縱隔占位病變的螺旋CT表現(xiàn)特征及其病理基礎(chǔ),以提高臨床認(rèn)識及診治水平。方法:回顧性分析經(jīng)臨床病理證實的原發(fā)性少見縱隔占位病變的螺旋CT表現(xiàn),觀察和評價腫塊內(nèi)部結(jié)構(gòu)、密度分布、邊緣特征、強化特征等CT表現(xiàn)特點及其優(yōu)勢解剖分布。結(jié)果:32例少見縱隔腫塊中良性22例(68.75%,22/32),惡性10例(10/32,31.25%)。22例良性腫塊中密度均勻12例(12/22,5454%),形態(tài)規(guī)則16例(16/22,72.72%),邊界清楚14例(14/22,63.64%),低密度15例(15/22,68.18%)。10例惡性腫塊中密度不均勻7例(7/10,70%),形態(tài)不規(guī)則8例(8/10,80%),邊界不清楚6例(6/10,60%),中等密度6例(6/10,60%)。32例腫塊中位于上縱隔12例,前縱隔16例,中縱隔9例,后縱隔11例。良性腫塊常累及一個解剖分區(qū)(15/22,68.18%),惡性多累及二個區(qū)以上(6/10,60%)。結(jié)論:不同的少見縱隔腫塊具有不同特征CT表現(xiàn)及其好發(fā)部位,這與其解剖來源和其組織成分不同有關(guān)
引用本文: 袁紅梅,余建群,魏兵,楊志剛,張優(yōu)儀,原珍團(tuán). 少見縱隔占位病變螺旋CT表現(xiàn)及其優(yōu)勢解剖分布. 華西醫(yī)學(xué), 2008, 23(1): 53-55. doi: 復(fù)制
1. | Macchiarini P,Ostertag H.Uncommon primary mediastinal tumors[J].Lancet Oncology,2004,5(2):107-118. |
2. | Strollo DC,Rosado-de-Christenson ML,Jett JR.Primarymediastinal tumors:Part 1*Tumors of the Anterior Mediastinum[J].Chest,1997,112(2):511-522. |
3. | Strollo DC,Rosado-de-Christenson ML,Jett,JR.Primarymediastinal tumors:part Ⅱ.Tumors of the middle and posterior mediastinum[J].Chest,1997,112(5):1344-1357. |
4. | Lee KS,Lm JG,Han CH,et al.Malignant Primary Germ Cell Tumors of the Mediastinum:CT Features[J].AJR,1989,153(5):947-951. |
5. | McAdams HP,Rosado-de-Christenson ML,Moran CA.Mediastinal hemangioma:radiographic and CT features in 14 patients[J].Radiology,1994,193(2):399-402. |
6. | Moeller KH,Rosado-de-Christenson ML.Templeton PA.Mediastinal Mature Teratoma:Imaging Features[J].AJR,1997,169(4):985-990. |
7. | 譚理連,李楊彬,陳劍魂.縱隔低密度腫塊病變CT診斷[J].臨床放射醫(yī)學(xué)雜志,1999,18(3):151-153. |
8. | Gladish GW.Sabloff BM.Munden RF,et al.Primary Thoracic Sarcomas[J].Radiogrphics,2002,22(3):621-637. |
9. | 余建群,楊志剛,李成.縱隔原發(fā)性腫瘤的螺旋CT表現(xiàn)特征及其優(yōu)勢解剖分布[J].中國現(xiàn)代實用醫(yī)學(xué)雜志,2002,1(5):11-14. |
10. | Moran CA,Suster S.Primary germ cell tumors of the mediastinum:I.Analysis of 322 cases with special emphasis on teratomatous lesions and a proposal for histopathologic classification and clinical staging[J].Cancer,1997,80(4):681-690. |
- 1. Macchiarini P,Ostertag H.Uncommon primary mediastinal tumors[J].Lancet Oncology,2004,5(2):107-118.
- 2. Strollo DC,Rosado-de-Christenson ML,Jett JR.Primarymediastinal tumors:Part 1*Tumors of the Anterior Mediastinum[J].Chest,1997,112(2):511-522.
- 3. Strollo DC,Rosado-de-Christenson ML,Jett,JR.Primarymediastinal tumors:part Ⅱ.Tumors of the middle and posterior mediastinum[J].Chest,1997,112(5):1344-1357.
- 4. Lee KS,Lm JG,Han CH,et al.Malignant Primary Germ Cell Tumors of the Mediastinum:CT Features[J].AJR,1989,153(5):947-951.
- 5. McAdams HP,Rosado-de-Christenson ML,Moran CA.Mediastinal hemangioma:radiographic and CT features in 14 patients[J].Radiology,1994,193(2):399-402.
- 6. Moeller KH,Rosado-de-Christenson ML.Templeton PA.Mediastinal Mature Teratoma:Imaging Features[J].AJR,1997,169(4):985-990.
- 7. 譚理連,李楊彬,陳劍魂.縱隔低密度腫塊病變CT診斷[J].臨床放射醫(yī)學(xué)雜志,1999,18(3):151-153.
- 8. Gladish GW.Sabloff BM.Munden RF,et al.Primary Thoracic Sarcomas[J].Radiogrphics,2002,22(3):621-637.
- 9. 余建群,楊志剛,李成.縱隔原發(fā)性腫瘤的螺旋CT表現(xiàn)特征及其優(yōu)勢解剖分布[J].中國現(xiàn)代實用醫(yī)學(xué)雜志,2002,1(5):11-14.
- 10. Moran CA,Suster S.Primary germ cell tumors of the mediastinum:I.Analysis of 322 cases with special emphasis on teratomatous lesions and a proposal for histopathologic classification and clinical staging[J].Cancer,1997,80(4):681-690.