肺原发性软骨瘤的CT表现

涂占海; 林征宇; 曹代荣; 李银官; 屈辉

中国临床医学影像杂志 ›› 2013, Vol. 24 ›› Issue (4) : 255-258.

论著

肺原发性软骨瘤的CT表现

涂占海1，林征宇1，曹代荣1，李银官1，屈辉2

作者信息 +

Computed tomography findings of pulmonary chondroma

TU Zhan-hai1, LIN Zheng-yu1, CAO Dai-rong1, LI Yin-guan1, QU Hui2

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文章历史 +

摘要

目的：分析肺原发性软骨瘤的CT表现，提高对该病的诊断水平。方法：回顾性分析8例肺原发性软骨瘤的临床资料，所有病例均经穿刺活检或手术切除后病理证实。全部病例均行螺旋CT平扫，其中6例行CT增强扫描。结果：8例肺原发性软骨瘤均为单发，其中6例发生于右肺，2例发生于左肺。CT平扫，8例均表现为边界清楚的孤立结节或团块影，未见空洞及周围卫星病灶，3例边缘轻度分叶状，5例边缘或病灶内可见斑点片状钙化，3例无明显钙化；CT增强扫描4例无明显强化，2例呈中度不均匀强化。结论：肺原发性软骨瘤是罕见的肺部良性肿瘤，其CT表现有一定的特征性，需要与肺结核瘤、错构瘤及周围型肺癌等鉴别。

Abstract

Objective: To study the CT features of primary pulmonary chondroma for improving diagnostic accuracy. Methods: The clinical data of eight patients with primary pulmonary chondroma proved by pathology of surgical specimens or biopsy were analyzed retrospectively. All patients had CT plain scanning, including 6 cases of enhanced scanning. Results: All of the 8 lesions were solitary. Six lesions were in the right lung and 2 in the left lung. CT findings: All lesions were solitary nodule or mass with well defined boundary, without cavity and satellites; 3 lesions had slightly lobular borderl; 5 lesions showed inner or periphery punctate and patchy calcifications, 3 lesions without evident calcifications; in 6 cases of enhanced scanning, 4 lesions had no evident enhancement and 2 lesions demonstrated moderate heterogeneous enhancement. Conclusions: Primary pulmonary chondroma is a rare benign tumor of lung, its CT findings have some characteristics, and should be differentiated from tuberculoma, harmatoma and peripheral lung cancer.

导出引用

涂占海;林征宇;曹代荣;李银官;屈辉. 肺原发性软骨瘤的CT表现[J]. 中国临床医学影像杂志. 2013, 24(4): 255-258

TU Zhan-hai;LIN Zheng-yu;CAO Dai-rong;LI Yin-guan;QU Hui. Computed tomography findings of pulmonary chondroma[J]. Journal of China Clinic Medical Imaging. 2013, 24(4): 255-258

中图分类号： Ｒ738.3 Ｒ814.42