摘要
作者分析了经手术及病理证实的局限型胸膜间皮瘤19例,其中良性9例,恶性8例,未定型2例。影像表现肿物多呈椭圆形、梭形或分叶状,边缘清楚锐利,贴近胸膜表面,少数瘤内有钙化或囊变。9例良性局限性纤维型胸膜间皮瘤中,5例有蒂,蒂长1~8cm,无一例有侵犯胸壁征象;8例恶性中,2例为带蒂肿物,5例伴有胸壁软组织侵犯,4例有肋骨破坏。CT评价胸膜间皮瘤的部位和范围有明显优越性。但除了胸壁软组织和肋骨侵犯提示恶性外,影像检查结果不能区别局限型胸膜间皮瘤的良、恶性。恶性胸膜间皮瘤术后容易复发,应长期随诊。
Abstract
Nineteen cases of localized pleural mesothelioma(benign 9, malignant
8,unclassified2)proved bysurgery and pathology were analyzed.Imaging
manifestations included large mass,elliptic or spindlein shape,often
lobulated and well delineated,close to pleural surface. There were
calcifications or cys-tic changes within the mass in some cases.Of
the 9 benign cases,there were pedicles of 1~8cm inlength attached to
the pleural surface in 5 cases.None of the benign mesotheliomas had
chest wall in-vasion or rib destruction.Of the 8 malignant
mesothelioma 2 were peduncalated,5 had invaded chestwall with
underlying rib destruction in 4 CT has obvious advantages for the
evaluation of the locationand extenst of mesothelioma.Apart from
invasion of the underlying rib or soft tissue.Differentiationof
benign from rnalignant localized mesothelioma can not be made by
imaging diagnosis.As malignantlocalized mesothelioma often recurrs
after surgery,closely following-up is recommended.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1995年第1期36-38,共3页
Chinese Journal of Oncology