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作 者:徐海东[1] 洪应中[1] 周康荣[1] 林贵[1]
机构地区:[1]上海医科大学附属中山医院放射科,浙江省宁波市第一医院CT室
出 处:《中华放射学杂志》1994年第7期460-462,共3页Chinese Journal of Radiology
摘 要:笔者分析研究了11例经手术病理证实的纵隔生殖细胞肿瘤的CT特征。7例良性肿块中,6例囊性(其中5例为厚壁囊性),1例混合性;肿块内出现脂肪4例,脂肪/液体平面1例,钙化4例。4例恶性肿块中,3例实质性,1例混合性;钙化1例,未见脂肪。笔者认为:CT能肯定良性肿块(畸胎瘤)的诊断,对恶性生殖细胞肿瘤和其他常见病变如恶性胸腺瘤、淋巴瘤的鉴别,则有一定限度。CT features in eleven patients with germ cell tumors of mediastinum confirmed by op-eration and pathology were analyzed.Of the seven benign niasses,one was mixed,six were predomi-nantly cystic,five of them had thick wall.Fat was found in four of the seven lesions,fat/fluid level in one and calcification in four.Of the four malignant masses,three were predominantly solid and one was mixed.Calcification was found in one case,while in none was fat present.The authors believed that CT could make definite diagnosis for benign lesions(teratoma),but had limited value in differentiation be-tween malignant germ cell tumors and malignant thymoma,lymphoma.
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