31例肺硬化性血管瘤的CT表现

目的:探讨肺硬化性血管瘤的CT影像特点以提高对本病的诊断水平。方法:对于经手术及病理证实的31例常见及少见的肺硬化性血管瘤的临床及影像学资料进行回顾性分析。分析各病变的位置、大小、边缘、密度及增强前后CT表现及相关特征。结果:肺硬化性血管瘤CT表现为边界清楚的软组织肿块或结节,增强后病灶明显强化。其中12例可见血管贴边征,5例可见磨玻璃影,3例可见囊变,4例可见钙化。31例均未发现肺门及纵隔淋巴结肿大。结论:CT平扫显示肺硬化性血管瘤具有常见良性肿瘤特点,部分少见型病变需进一步提高认识,增强扫描对本病的诊断和鉴别诊断更有价值。

The Study of CT Fingdings and Pathology in Pulmonary Sclerosing Hemangioma

To improve the diagnostic level of Pulmonary Sclerosing Hemangioma by studying its CT image features.The imaging data of 31 cases of Pulmonary Sclerosing Hemangioma confirmed by surgery and pathology were retrospectively studied. The relevant characteristics of lesion location, size, edge, density and enhanced CT findings were analyzed.CT scan could see soft tissue solitary, well-circum scribed mass or round nodule, enhanced CT scan could see obviously strengthening lesions. 12 cases had the sign of vascular welt, 5 cases had with ground glass, 3 cases were noted cystic, 4 cases had with calcification. 31 cases were not found enlargement lymph nodes in the hilar and mediastinal. This disease has common benign tumor characteristics by CT scan, some rare lesions need to further raise awareness; enhanced CT scan are more valuable to identify pulmonary sclerosing hemangioma.