胸壁肿瘤的CT分析  

CT analysis of chest wall tumors

作　　者：孙波[1] 侯金鹏 范国华[1] SUN Bo;HOU Jinpeng;FAN Guohua(Department of Imaging,the Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu Province 215004,China)

机构地区：[1]苏州大学附属第二医院影像科,江苏苏州215004

出　　处：《实用放射学杂志》2020年第12期1941-1943,1968,共4页Journal of Practical Radiology

摘　　要：目的分析胸壁肿瘤的CT表现,提高对胸壁肿瘤的认识与诊断水平.方法回顾性分析54例经手术或穿刺病理证实为胸壁肿瘤的CT表现,全部病例均行螺旋CT平扫,其中42例加增强扫描.结果54例胸壁肿瘤中,按照病变组织学分类分为:(1)软组织源性肿瘤组34例,其中脂肪瘤8例、血管瘤3例、神经鞘瘤5例、韧带样纤维瘤1例、颗粒细胞瘤2例、转移瘤15例;(2)骨组织源性肿瘤20例,其中软骨瘤2例、软骨肉瘤1例、骨肉瘤2例、转移瘤15例.结论对于胸壁肿瘤的CT诊断,应先按照病变组织学分类,再细致观察肿瘤的影像特征,结合临床病史及实验室检查,以提高诊断准确性.Objective To analyze the CT findings of chest wall tumors and to improve the understanding and diagnosis of chest wall tumors.Methods CT manifestations of 54 cases with chest wall tumors confirmed by surgery or puncture pathology were analyzed retrospectively.All cases underwent spiral CT scan,including 42 cases with enhanced scan.Results According to histological classification,34 cases of soft tissue tumors included lipoma(n=8),hemangioma(n=3),schwannoma(n=5),desmoid-type fibroma(n=1),granulosa cell tumor(n=2),and metastases(n=15).20 cases of bone tissue tumors included chondroma(n=2),chondrosarcoma(n=1),osteosarcoma(n=2),and metastases(n=15).Conclusion For CT diagnosis of chest wall tumors,the histology of the lesion should be classified first,and then the imaging characteristics of the tumor should be carefully obse rved,combined with clinical history and laboratory examination,to improve the accuracy of diagnosis.

关 键 词：胸壁肿瘤 计算机体层成像 

分 类 号：R734.4[医药卫生—肿瘤] R814.41[医药卫生—临床医学]