摘要
目的分析脾脏窦岸细胞血管瘤(LCA)的CT表现,并与病理对照分析,提高其诊断准确性。方法回顾性分析2015年1月至2020年9月广州市红十字会医院、广州市第一人民医院和广州医科大学附属肿瘤医院收治的4例经手术病理证实脾脏LCA患者的临床、影像及病理资料;4例均行CT检查,同时分析其影像学特点和病理特征相关性。结果脾脏体积不同程度增大,3例病变为单发,1例为多发,CT平扫表现为结节状或团块状等、稍低密度,边界欠清;动脉期3例病变边缘明显强化,1例呈结节状强化,4例门脉期均进一步强化,延迟期1例呈等密度,2例呈稍高密度,1例呈中心相对低密度,低密度范围较动脉期及门脉期减少。结论脾脏LCA影像学上具有一定的特征性,可为临床诊断及术前评估提供重要依据,但确诊仍需依据病理学。
Objects To improve the diagnostic accuracy of littoral cell angioma(LCA)of spleen by exploring and analyzing the relationship of their CT imaging and pathological features.Methods From January 2015 to September 2020,four patients with LCA confirmed by pathology after an operation who had CT exams with contrast were enrolled from Guangzhou Red Cross Hospital,Guangzhou First People’s Hospital and Affiliated Cancer Hospital&Institute of Guangzhou Medical University.To analyze the relationship of radiological and pathological features of LCA.Results Four patients showed splenomegaly in different degrees.Three patients were found to have single lesions and the other patient had multiple lesions.LCA with nodular or mass-like shape showed unclear border and iso-or hypo-density on plain CT scan.On the arterial phase,three cases demonstrated obvious enhancement peripherally and one case demonstrated nodular enhancement.All cases had gradual enhancement on the portal vein phase.In the delayed phase,one case showed isodensity,two cases showed hyperdensity,and one case showed slight hypodensity in the central area,which was smaller than the arterial and portal vein phase.Conclusion LCA had some special CT imaging characteristics that could provide that important information for clinical diagnosis and preoperative evaluation.However,the final diagnosis of LCA still depends on pathology.
作者
徐凡
梁莹莹
尹进学
李丽琪
梁治平
曾旭文
XU Fan;LIANG Ying-ying;YIN Jin-xue;LI Li-qi;LIANG Zhi-ping;ZENG Xu-wen(Department of Radiology,Guangzhou Red Cross Hospital,Guangzhou 510220,Guangdong Province,China;Department of Radiology,Guangzhou First People’s Hospital,Guangzhou 510180,Guangdong Province,China;Department of Radiology,Affiliated Cancer Hospital&Institute of Guangzhou Medical University,Guangzhou 510095,Guangdong Province,China)
出处
《罕少疾病杂志》
2021年第3期70-72,共3页
Journal of Rare and Uncommon Diseases
