胸腺上皮肿瘤CT征象与WHO简化病理分型的对照研究  

Comparative study of CT features of thymic epithelial tumors and WHO simplified pathological classification

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作  者:梁丰丽 符文杰 高艳艳 龙晓宙[1] LIANG Fengli;FU Wenjie;GAO Yanyan;LONG Xiaozhou(Department of Radiology,Gansu Provincial People's Hospital,Lanzhou,Gansu 730000,China)

机构地区:[1]甘肃省人民医院放射科,甘肃兰州730000

出  处:《影像研究与医学应用》2024年第24期30-34,共5页Journal of Imaging Research and Medical Applications

基  金:兰州市科技计划项目(2023-2-55)。

摘  要:目的:探讨胸腺上皮肿瘤(TETs)的CT征象与临床、WHO简化病理分型的相关性。方法:回顾性分析2016年1月—2022年2月甘肃省人民医院经穿刺病理或手术病理证实的42例TETs患者的临床、病理及影像学资料,基于WHO简化病理分型分为低危型胸腺瘤组、高危型胸腺瘤组和胸腺癌组,比较分析各组的CT影像学特征、临床特点。结果:不同简化组织学分型的胸痛或胸部不适、间断咳嗽、无症状比较,差异无统计学意义(P>0.05);不同简化组织学分型的重症肌无力比较,差异有统计学意义(P<0.05)。三组肿瘤最大径、形态、边缘、钙化、囊变、坏死、强化方式、大血管侵犯、淋巴结转移、心包、胸膜转移、心包、胸腔积液等CT特征比较,差异有统计学意义(P<0.05)。结论:CT对胸腺上皮肿瘤的鉴别诊断具有良好的应用价值,胸腺上皮肿瘤CT影像学特征与临床、WHO简化病理分型存在一定相关性。Objective To explore the correlation between CT features of thymic epithelial tumors(TETs)and clinical and WHO simplified pathological classification.Methods The clinical,pathological and imaging data of 42 cases of patients with TETs confirmed by puncture pathology or surgical pathology in Gansu Provincial People's Hospital from January 2016 to February 2022 were retrospectively analyzed.Based on the WHO simplified pathological classification,they were divided into low-risk thymoma group,high-risk thymoma group and thymic carcinoma group.The CT imaging features and clinical characteristics of each group were compared and analyzed.Results There was no statistically significant difference in chest pain or chest discomfort,intermittent cough and asymptomatic comparison between different simplified histological types(P>0.05).There was statistically significant difference in myasthenia gravis between different simplified histological types(P<0.05).There were statistically significant differences in CT features such as maximum diameter,shape,edge,calcification,cystic degeneration,necrosis,enhancement mode,macrovascular invasion,lymph node metastasis,pericardium,pleural metastasis,pericardium and pleural effusion among the three groups(P<0.05).Conclusion CT has good application value in the differential diagnosis of thymic epithelial tumors,and there is a certain correlation between the CT imaging characteristics of thymic epithelial tumors and clinical and WHO simplified pathological classification.

关 键 词:胸腺上皮肿瘤 胸腺瘤 计算机体层成像 

分 类 号:R445.3[医药卫生—影像医学与核医学]

 

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