艾滋病合并卡波西肉瘤的CT表现分析  

CT features of Kaposi's sarcoma in HIV/AIDS patients

作　　者：黄德扬[1] 刘晋新[1] 丁岩[1] 张烈光[1] 甘清鑫[1] 

机构地区：[1]广东省广州市第八人民医院放射科,广东广州510600

出　　处：《医学影像学杂志》2017年第2期259-261,共3页Journal of Medical Imaging

基　　金：广东省广州市医药卫生科技重点项目(编号:20121A021015)

摘　　要：目的探讨艾滋病合并卡波西肉瘤患者的CT影像学表现。方法回顾性分析,12例艾滋病合并卡波西肉瘤患者的CT影像学表现。结果 CT显示肺内结节灶9例,累及胸膜及胸腔积液6例、纵隔淋巴结肿大8例,1例可见骨破坏,1例肝内见多发占位。结论艾滋病合并卡波西肉瘤累及肺部常见影像表现为肺内可见沿肺支气管血管周围分布的多发结节灶,可同时合并胸腔积液,纵隔淋巴结及腋窝淋巴结肿大;累及肝脏可见肝内多发低密度占位病变。Objective To study the CT imaging features of patients with AIDS-related Kaposi＇s sarcoma. Methods We refro- spectively reviewed the CT imaging features of 12 patients with AIDS-related Kaposi＇s sarcoma. Results Chest radiographs showed diffused nodules （ n = 9）, pleural effusion （ n = 6）, mediastinal lymph node enlargement （ n = 8 ）, bone destruction （ n = 1 ）, and abdominal CT scans showed ill-defined liver nodules （ n = 1 ）. Conclusion Chest computed tomography scans of pa- tients with AIDS-related Kaposi＇s sarcoma commonly reveal bilateral and symmetric ill-defined nodules in a peribronchovascular distribution, pleural effusions and mediastinal adenopathies; and multiple low density lesions could be seen in liver.

关 键 词：卡波西肉瘤 艾滋病 影像诊断 

分 类 号：R814.42[医药卫生—影像医学与核医学] R512.91[医药卫生—放射医学]