脾脏肿瘤的影像分析  

Imaging Analyses of Splenic Tumors

作　　者：奚日泉[1] 谢道海[1] 郭亮[1] 胡春洪[1] 褚伟[1] 付引弟[1] 

机构地区：[1]苏州大学附属第一医院影像中心,江苏苏州215006

出　　处：《实用放射学杂志》2006年第8期960-961,981,共3页Journal of Practical Radiology

摘　　要：目的探讨脾脏肿瘤的临床、影像学表现,提出诊断与鉴别诊断的要点。方法回顾分析了21例经手术病理证实的脾脏肿瘤临床特点及影像学特征。结果脾炎性假瘤呈单发灶,密度不均匀,可有钙化;血管瘤为实性肿块或多囊性肿块,不均匀强化;淋巴管瘤特点为多发低密度灶;恶性淋巴瘤在脾内为单发或多发灶;脾的转移瘤表现多种多样。结论认真分析影像学特征,提高脾脏肿瘤诊断的准确率是可能的。Objective To explore the recognition of the imaging characteristics of the splenic tumor . The keys of diagnosis and differential diagnosis for this lesion were suggested . Methods 21 cases of splenic tumors by operation and pathology were examined and clinical manifestation with image characteristics were analyzed. Results Inflammatory pseudotumor were single lesion and inhomogeneous in density , there were calcifications inside the tumors . Splenic hemangioma were single lesion or cystic lesions inhomogeneous in density or enhanced slightly after contrast medium administration. Cystic lymphangioma were multiple round focus. Malignant lymphoma to have single or multiple focus . CT appearances of splenic metastatsis tumor are variable . Conclusion It is possible to improve the diagnostic rate by analyzing the imaging feature of splenic tumor.

关 键 词：脾脏 肿瘤 体层摄影术 X线计算机 

分 类 号：R733.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]