ISSN 1004-4140
CN 11-3017/P

肺炎性假瘤的CT诊断与鉴别诊断

CT Diagnosis and Differential Diagnosis of Pulmonary Inflammatory Pseudotumor

  • 摘要: 目的:分析肺炎性假瘤的CT表现。方法:对32例经手术病理证实的肺炎性假瘤的CT及临床资料进行回顾性分析。结果:病灶多位于肺胸膜下,广基地与胸膜相连;多呈圆形或类圆形,边缘光滑,直径2-5 cm,密度均匀;边缘可见粗长毛刺,棘状突起或浅分叶;可有淋巴结肿大。结论:全面综合地分析肺炎性假瘤的CT表现特征,结合肺内感染病史,肺炎性假瘤的正确诊断与鉴别诊断是很有帮助。

     

    Abstract: Objective: To analyze the CT manifestations of pulmonary inflammatory pseudo tumors.Methods: The data of 32 cases with pulmonary inflammatory pseudo tumor,which proved pathologically after surgey were investigated retrospectively.Results: The lesions wryer usually located at the periphery,the base of the lesion were extensively adhesive to pleural with localized pleural thickening,most of them were round or round-like mass,margin was smooth,density was homogeneous,diameter was around 2cm-5cm;the edge of lesion presented long and thick speculations,or shallow lobulation,and mediastinal lymphadenectasis.Conclusion: It is very helpful to diagnostic and differential diagnosis of pulmonary inflammatory pseudo tumor by analyzing the CT features all sidedly and emphasis on the history of infection of patient.

     

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