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纵隔肿瘤定性诊断中值得重视的几种X线征象
引用本文:陈金城,罗良平,冀景玲.纵隔肿瘤定性诊断中值得重视的几种X线征象[J].中国医学影像学杂志,1994,2(2):95-98.
作者姓名:陈金城  罗良平  冀景玲
作者单位:暨南大学医学院附属医院医学影像科,首都医学院附属北京友谊医院放射科
摘    要:通过对218例经病理学证实的纵隔肿瘤影像学资料(全部有胸部正、侧位片,89例加作CT扫描,7例加作MRI检查)的分析,讨论了5种对纵隔肿瘤平片定性诊断有价值的X线征象。立舌征提示胸腺瘤;倒置三角形征提示胸内甲状腺;肺尖圆球征提示后纵隔神经源肿瘤;攀藤征见于前纵隔者提示胸腺瘤,见于中纵隔者提示脉管性肿瘤;蛋壳样钙化征见于前纵隔者提示胸腺瘤,见于纵隔中上区者提示胸内甲状腺。

关 键 词:纵隔肿瘤  X线征象

Some Valuable X-ray Signs in the Diagnosis of Mediastinal Tumors
Chen Jincheng,Ji Jingling,Luo Liangping.Some Valuable X-ray Signs in the Diagnosis of Mediastinal Tumors[J].Chinese Journal of Medical Imaging,1994,2(2):95-98.
Authors:Chen Jincheng  Ji Jingling  Luo Liangping
Abstract:Based on the analysis of the imagiologic material of 218 cases of mediastinal tumors(218 cases with PA and lateral chest radiographs,89 CT and 7 MRI)proved pathologically,five valuable X-ray signs on plain film in the diagnosis of mediastinal tumors were discussed. That was,upright tongue sign indicated thymoma;inverted trianngle sign indicated goiter;apical globe sign indicated neurogenic tumor in posterior mediastinum,tw ining vine sign located in anterior mediastinum indicated thymoma,this sign also suggested vasculature tumors when situated in middle mediastinum;eggshell calcification sign located in anterior mediastinum indicated thymoma but it would indicated goiter if found in superior-middle mediastinal area.
Keywords:mediastinal tumor  X-ray sign
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