摘要
目的探讨纵隔畸胎瘤的临床及影像学诊断特点。方法回顾性分析32例有完整临床及病理资料的纵隔淋巴瘤的临床及X线、CT表现。结果①发生部位:32例病变均发生于纵隔左侧,其中26例呈进行性增大,25例位于前纵隔(上部4例,中部17例,下部4例);中纵隔5例,后纵隔2例。②内部结构:囊性包块19例(单房13例,多房6例);实性包块13例,实性软组织成分中夹杂脂肪、水、钙化物等成分。③包块密度不均。④包块边界:28例边缘光滑,4例边缘模糊。⑤脂-液平面4例。⑥脂密度子囊5例。⑦钙化2例。结论纵隔畸胎瘤的临床表现多样,但CT表现各有特征,仔细观察和分析这些特征,有助于明确诊断。
Objective To investigate the clinical and imaging diagnosis characteristics of mediastinal teratoma. Methods A retrospective analysis was performed for 32 cases of mediastinal lymphoma with complete clinical and pathological data of X-ray,CT and clinical manifestations. Results （1）Location：32 cases of pathological changes occurred in the mediastinum left, including 26 cases of progressive increase, 25 cases located in the anterior mediastinum （upper 4, 17 middle and lower 4） ; mediastinum in 5 cases, the posterior mediastinum 2 cases. （2）The internal structure： cystic masses： 19 cases （13 cases of single room, muhi-room 6 cases）. Solid mass： 13 cases, solid inclusions in the soft tissue component of fat, water, calcium and other ingredients. （3）Mass density： uneven density. （4）The package block boundary： 28 cases of smooth edges, 4 cases of fuzzy edges. （5）Fat-fluid level 4 cases. （6）Fat density ascus in 5 cases. OCalcification in 2 cases. Conclusion The clinical manifestations of the mediastinal teratoma are diversiform, but CT manifestations have their own characteristics . Careful observation and analysis of these characteristics will help confirm the diagnosis.
出处
《山西医药杂志》
CAS
2014年第13期1488-1489,共2页
Shanxi Medical Journal
