摘要
目的 探讨肺门局灶型Castleman病的CT诊断价值.方法 回顾性分析我院自2007年6月～2012年5月经手术病理证实为肺门局灶型Castleman病的5例患者CT资料.所有患者均行CT平扫及增强扫描,CT表现由两名放射学医师共同分析.以手术结果为标准,评价CT诊断的准确性.结果 所有患者均表现为肺门类圆形软组织肿块影,边界清晰,直径为3.0～5.5cm,2例患者病灶中心可见放射状或颗粒样高密度钙化灶,病灶周围支气管受压狭窄.5例患者增强扫描动脉期呈明显强化或显著强化,并且可见对比剂早进晚出的特征.结论 肺门边界清晰明显持续强化的软组织肿块,要考虑局灶型Castleman病的诊断,确诊需要病理.
Objective To discuss the diagnostic value of CT in localized Castleman disease of hilus pulmonis.Methods CT data of 5 patients in our hospital from June 2007 to May 2012 were retrospectively analyzed.All cases were diagnosed as localized Castleman disease by pathological examination.CT contrast examination and MPR were performed.Operative result was performed as a standard reference and the diagnostic accuracy of CT in localized Castleman disease of hilus pulmonis was investigated.Results All patients were characterized by the soft mass of hilum pulmonis,clear boundary and a diameter of 3.0 cm to 5.5 cm.The lesions of 5 patients showed intense and continuous enhancement after contrast.The location,size,characterization,based on CT findings,were consistent with intraoperative photography.Conclusion The diagnosis of Castleman disease should be suggested when the soft mass of hilum pulmonis has clear boundary and continuous reinforcement.Comprensiue diagnosis is mainly based on pathologic and immunohistochemical examinations.
出处
《医学影像学杂志》
2014年第3期389-391,共3页
Journal of Medical Imaging
