纵隔髓外造血组织增生的影像表现_附2例报告并文献复习_.pdfVIP

临床放射学杂志2005 年第 24 卷第 3 期 ·225 · 胸部放射学 纵隔髓外造血组织增生的影像表现( 附2 例报告并文献复习) 陆建常 ( ) 【摘要】　目的　探讨纵隔髓外造血组织增生 EMH 的影像表现 ,提高影像诊断水平 ,减少误诊 。 资料与方法 　报 告 2 例 EMH 病例 ,结合文献对该病的病因、病理 、影像表现及诊断、鉴别诊断进行讨论 。 结果 　2 例 EMH 正位 X 线胸片表现为下胸段脊柱旁向肺野突出的类圆形阴影 。CT 扫描为中下段胸椎旁单侧或双侧出现多发半圆形或分 叶状软组织块影 ,病变边缘光滑 ,密度均匀 ;增强扫描呈轻或中度均匀强化 。 结论 　EMH 的影像表现有一定的特 征 ,X 线 、CT 扫描结合临床可作出影像学诊断 。 【关键词】　纵隔 　髓外造血 　增生 　影像表现 Imaging Findings of Extramedullary Hematopoiesis in Mediastinum : Two Cases Report and Literature Revie w LU Jianchang Department of Radiology , Guangxi Nationality Hospital , Nanning 530001 , P. R . China 【Abstract 】　Objective 　To investigate the imaging findings of extramedullary hematopoiesis in mediastinum ( EMH) , and to im prove the diagnostic level of EMH. Materials and Methods 　The etiology , pathology , imaging findings , diagnosis and differen tial diagnosis of two cases with EMH were reviewed. Results 　Xray findings of conventional chest film of EMH were appeared with roundlike shadows which located at the side of lower thoracic vertebral segment , and roundlike or lobulated multiple masses on unilateral or bilateral middlelower vertebral segment on plain CT scanning , the masses with smooth edges and equal density. On contrast enhancement CT scanning , the masses were shown with slight or mild homogeneous enhancement . Conclusion 　EMH have special imaging findings , which can be diagnosed by Xray and CT scanning combined with clinical manifestations. 【Key words】　Mediastinum 　Extramedully hematopoiesis 　Hyperplasia