肺滑膜肉瘤的影像学表现及误诊原因分析  

Analysis of features and misdiagnosis of pulmonary imaging for synovial sarcoma

作　　者：李丹鸿 刘治邦[2] 尉继伟[3] 

机构地区：[1]大同大学附属医院CT科,037005 [2]大同大学附属医院影像中心,037005 [3]大同大学附属医院胸外科,037005

出　　处：《中国实用医刊》2014年第17期28-29,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨如何提高肺滑膜肉瘤的确诊率、减少误诊。方法2012年收治1例肺滑膜肉瘤患者，同时结合2012年10月以前报告、中国期刊全文数据库收录发表的80例资料较为完整的肺原发性滑膜肉瘤患者进行回顾性研究。结果81例肺原发性滑膜肉瘤患者中男40例，女41例。主要临床表现有胸痛、气短、咯血、咳嗽、发热等，个别患者无任何不适。胸部影像学有一些特征表现，但术前均未做出确切诊断。全部患者均进行手术治疗，最终依赖病理、免疫组化做出诊断。结论肺原发性滑膜肉瘤临床表现不一，影像学具有相对特征表现，易与其他肺部肿瘤或炎症混淆；术前确诊率低。Objective To investigate the method of diagnosis for pulmonary synovial sarcoma. Methods One case of pulmonary synovial sarcoma hospitalized in 2012 accompanied with 80 cases of pulmonary synovial sarcoma referenced from CNKI before Oct. 2012 were retrospectively investigated. Results Among the 81 cases of primary pulmonary synovial sarcoma,male in 40 cases,female in 41 ca-ses. The main clinical manifestations were chest pain,shortness of breath,cough,fever,hemoptysis. In individual cases,without any discomfort. Chest imaging had some features,but had not made the exact diagnosis before operation. All of the cases received operation treatment and ultimately were diagnosed by the pathology,immunohistochemical test. Conclusions Primary synovial sarcoma of the lung has no typical clinical manifestation,only has relative characteristics of imaging,so it is easily confused with other lung tumors or inflammation and the preoperative diagnosis rate is low.

关 键 词：肺滑膜肉瘤 影像 误诊 

分 类 号：R734.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]