ISSN 1004-4140
CN 11-3017/P

孤立型纤维性肿瘤CT与病理分析

Solitary Fibrous Tumor: Computed Tomography and Pathological Analysis

  • 摘要: 目的:探讨孤立型纤维性肿瘤的CT及病理学特点,提高对该疾病的诊断水平。方法:结合文献回顾性分析3例经手术病理证实的孤立型纤维性肿瘤的临床、CT及病理学资料。结果:孤立型纤维性肿瘤在临床上可无症状或因肿瘤压迫出现不典型症状。在CT上3例表现为实性肿块,增强后实性部分轻度强化或明显强化。SFT因有完整的包膜,故多为境界清楚的软组织密度肿瘤。结论:CT对SFT确诊价值有限,诊断必须结合既往病史、临床症状,确诊有赖于病理学与免疫组织化学诊断。

     

    Abstract: Objective: To explore the CT manifestations and pathologic features of solitary fibrous tumor(SFT) so as to improve its diagnostic accuracy.Method: The clinical and CT signs and pathologic data of 3 patients with pathologically proved SFT were analyzed and the relative literatures were reviewed.Results: The patients with SFT were lacked of clinical symptoms or presented atypical symptoms due to the oppression of tumor.On CT images the lesion of three cases was large solid mass and the solid part of the mass was mild to apparent enhancement for two cases of the administration of contrast agent.SFT is the soft minors with well-defined margins and smooth contours.Conclusion: The value of CT diagnosis of SFT was limited.The diagnosis of SFT should be combined with history,clinical appearance.The final diagnosis of SFT was depended on the pathology and immunohistochemistry.

     

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