CT Diagnosis of Primary Pleura Tumor
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摘要: 目的：探讨胸膜原发性肿瘤的CT表现，提高对该类疾病的认识。方法：回顾性分析经病理学证实的24例胸膜原发性肿瘤的CT资料。结果：24例中恶性间皮瘤9例，8例表现为胸膜弥漫性增厚及多发结节，1例局限性增厚，增强较明显不均匀强化3例，不均匀轻-中等强化6例，8例见胸腔积液，3例伴有淋巴结转移，1例见肝内及肺内转移。孤立性纤维瘤7例，3例表现为梭形肿块，4例呈半球形肿块，增强不均匀轻度到明显强化，5例见胸膜尾征，2例少量胸腔积液。神经鞘瘤5例，1例表现为梭形肿块，4例呈半球形、球形肿块，增强不均匀轻-中度强化，均见胸膜尾征。纤维脂肪瘤1例表现为脂肪及纤维混杂密度梭形团块，边界较清晰，增强见较多纤维成分延迟强化。滑膜肉瘤1例表现为巨大不规则肿块，增强不均匀强化，并见左侧肾上腺转移灶环状强化。炎性肌纤维母细胞瘤1例表现为球形等及稍低密度肿块，增强不均匀延迟强化。结论：胸膜原发性肿瘤少见，不同肿瘤的CT表现各有特点，CT对其诊断及鉴别诊断有重要价值。Abstract: Objective: To explore the CT findings of the primary pleural tumors and improve the understanding of these diseases. Methods: The CT of 24 cases of primary pleural tumors confirmed by pathology were analyzed retrospectively. Results: Among 24 cases, there were 9 cases of mesothelioma, 8 cases showed pleural diffuse thickening irregularly together with multiple nodules, and 1 cases showed localized thickening of the pleura, 3 cases showed obvious inhomogeneous enhancement, 6 cases showed mild to moderate enhancement inhomog eneously, 8 cases of accompanied with pleural effusion, 3 cases accompanied with lymph node metastasis, 1 case accompanied with intrahepatic metastas and 1 case accompanied with intrapulmonary metastas. Among 7 cases of solitary fibroma, 3 cases were fusiform masses, 4 cases showed hemispherical masses, and all 7 cases showed mild to obvious enhancement inhomogeneously, 5 cases showed "pleural tail" sign and 2 cases accompanied with pleural effusion. 5 cases of neurilemmoma all showed "pleural tail" sign, 1 case showed fusiform mass and 4 cases showed spherical mass, and all 5 cases showed mild to moderate enhancement inhomog eneously. 1 case adipofibroma showed fusiform mass with fatty density mainly and clear boundary, and a little fibes with mild enhancement.1 case synovial sarcoma showed huge irregular mass and with inhomogeneous enhancement, accompanied with metastasis of the left adrenal with circular enhancement. 1 case inflammatory myofibroblastoma showed spherical mass with equal and mild low density, and with inhomogeneous delayed enhancement obviously. Conclusion: Primary tumor of the pleura is rare in clinic but is varied in variety, the CT characteristics of different tumors are different, and CT show important value for the diagnosis and differential diagnosis.
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Keywords:
- pleura /
- primary pleura tumor /
- tomography /
- X-ray computed /
- diagnosis
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期刊类型引用(5)
1. 齐沙沙，钱伟军，李立. 多层螺旋CT诊断恶性胸膜间皮瘤的临床价值. 实用医技杂志. 2023(09): 614-617 . 
百度学术
2. 董昔山，林观生. 胸膜孤立性纤维性肿瘤11例CT表现. 中国乡村医药. 2022(03): 56-57 . 百度学术
3. 林观生，李振华，马周鹏，王龙停. 胸膜少见原发肿瘤的CT诊断. 中国中西医结合影像学杂志. 2022(03): 229-232 . 百度学术
4. 王晓冬，董萍. 评价CT检查在原发性肾上腺肿瘤临床诊断与鉴别诊断中的价值. 临床医药文献电子杂志. 2020(43): 113-114 . 百度学术
5. 汪永勤. CT在结核性脓胸及恶性胸膜间皮瘤鉴别诊断中的应用. 实用医学影像杂志. 2020(05): 495-497 . 百度学术
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