肺硬化性血管瘤的影像学表现与临床病理分析  

Clinic-pathology and Imaging findings of Pulmonary Sclerosing Hemangioma

作　　者：文阳[1] 王伯胤[2] 傅燕萍[3] 

机构地区：[1]温州医学院影像医学与核医学系,在读硕士研究生325000 [2]浙江绍兴市人民医院放射科,312000 [3]浙江绍兴市人民医院病理科,312000

出　　处：《临床放射学杂志》2009年第3期422-424,共3页Journal of Clinical Radiology

摘　　要：目的探讨肺硬化性血管瘤(PSH)的影像学表现及临床病理学特点。资料与方法回顾性分析经手术病理证实的11例PSH患者的临床病理及影像资料。11例均为女性,年龄34～68岁,平均53.4岁。结果病理所见肿瘤主要由实性区、乳头状区、硬化区及血管瘤样区4种组织形态构成,一般包括至少2种或2种以上组织形式,混合存在。胸片与CT示肿瘤表现为单发、边界清楚的圆形或卵圆形肿块,3例有浅分叶改变,1例可见"空气新月征",1例瘤旁见磨玻璃阴影(GGO),增强扫描呈均匀显著强化。结论PSH是一种少见的肺内良性上皮性肿瘤,了解其组织形态学特征及影像学表现,有利于提高对PSH的诊断率。Objective To discuss the imaging findings and pathologic characteristics of pulmonary sclerosing hemanagioma（PSH）. Materials and Methods The patholigy and imaging data of 11 cases from Jan 2002 to Jun 2008 were analyzed retrospectively at our hospital. Results All the patients were female. On pathological findings, PSH is composed of four major histologic components ： solid, papillary＇, sclerotic, and heman-giomatous components. The neoplasm have at least two of these components which were hybrid existence. On the routine chest x-ray and CT imagine, the lesions presented as solitary, well-defined boundary, round and oval shaped nodule or mass. Three cases had slight lobulation and 1 case had the sign of air meniscus, An groundglass opacity （GGO） in the surrounding lung parenchyma were noted in 1 case. All the lesions were strong and homogenous enhanced on contrast enhanced CT scan. Conclusion PSH is one rare kind of benign epithelial tumours. The correct diagnosis can be made after learning the pathology and imaging features.

关 键 词：肺 硬化性血管瘤 影像诊断 临床病理 

分 类 号：R734.2[医药卫生—肿瘤] R735.2[医药卫生—临床医学]