| 肖国文,董世禄,李建文.恶性胸膜间皮瘤的CT 诊断[J].中国医学影像技术,2000,16(5):371~373 |
| 恶性胸膜间皮瘤的CT 诊断 |
| CT Diagnosis of Mal ignant Pleural Mensothelioma |
| 投稿时间：1999-11-25 |
| DOI： |
| 中文关键词: CT 胸膜间皮瘤 诊断 |
| 英文关键词:CT Pleural mensothelioma Diagnosis |
| 基金项目: |
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| 中文摘要: |
| 目的 分析恶性胸膜间皮瘤的CT 征象,评价CT 对本病的诊断价值。方法 回顾性分析22 例经组织学
证实的恶性胸膜间皮瘤的CT 征象,并讨论其鉴别诊断。结果 20 例弥漫性恶性胸膜间皮瘤患者中,19 例胸膜增厚
大于10 mm ,占95 % ,胸膜增厚呈结节状或肿块状13 例,占68 % ,环状胸膜增厚15 例,占75 % ,纵隔胸膜受侵犯18
例,占90 % ,20 例有半侧胸体积缩小,7 例CT 判断为1 期的患者,手术证实3 例有胸壁破坏或横膈下蔓延,其中2 |
| 英文摘要: |
| Objective To analayse the CT findings of malignant pleural mensothelioma and determine the usefulness of
CT in the differential diagnosis of pleural diseases. OMethods The CT scans of 22 patients with malignant pleural mensothelioma proved histologically were retrospectively reviewed ,and the differential diagnosis of pleural diseases was also discussed.
Results Of 20 patients with malignant diffuse pleural mesothelioma ,pleural thickening more than 10 mm in 19 patients
(95 %) ,nodular/ massive pleural thickening in 13 (68 %) ,rind-like pleural thickening in 15 (75 %) ,mediastinal pleural involvement in 18 (90 %) ,contraction of the involved hemithorax in all 20 patients. Of 7 patients classified as stage 1 on CT
scans ,chest wall inveasion or infradiaphragmatic invasion confirmed by operation in 3 patients ,also showed on MRI in 2 (2/
3) . Conclusion The most common findings of malignant pleural mensothelioma are pleural thickening greater than 10 mm ,
nodular/ massive pleural thickening ,mediastinal pleural involvement and rind-like pleural thickening. Frozen-hemithorax is
quite characteristic ,but not pathognomonic. CT is helpful in detecting the location ,extent of pleural lesions and follow-up of
patients. However ,MRI is important complementary to CT in some aspects. |
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