神经母细胞瘤转移灶的螺旋CT特征分析.pdfVIP

- 229 一 《现代民用影像学}2016 年4 月第25 卷第2 期 神经母细胞瘤转移灶的螺旋 CT 特征分析 东莞市厚街医院放射科(广东东莞 523945) 邓方，刘勇彬，邓明明 [摘要] 目的:探讨神经母细胞瘤转移灶的 CT 特征。材料与方法:回顾性分析我院 11 例经病理证实的神经 母细胞瘤伴转移患者的影像学资料，分析其螺旋CT 表现。结果:本组 11 例患者，病灶原发于腹膜后者5 例，其中 伴肝转移2 例、儒骨转移l 例，颅骨转移l 例;病灶原发于纵隔内者4 例，其中锁骨上淋巴结转移3 例、肺部转移 l 例;原发于椎体旁者2 例，其中肋骨转移 1 例，肝转移 l 例;转移灶螺旋 CT 表现为类圆形、环形强化影，骨质 破坏、淋巴结肿大伴环形强化、肺内均匀强化结节。结论:神经母细胞瘤转移灶的螺旋 CT 表现多样、但有一定特 点，熟悉这些影像学特点，可为临床诊断本病提供非常重要的信息。 关键询:神经母细胞瘤;转移灶; CT 征象 Analysis of CT Characteristics of Neuroblastoma Metastases Deng Fang , Liu Yongbin , Deng Mingming The houjie hospital radiology department of Dongguan , Guangdong 523945 [ Abstract] Pur阳e: To 呻Iore the neuroblωtoma met削叩of 叩i时 CT ìmages. Materials and Methods: Retro- spective analysis of 11 cases confirmed by pathology in patients with neuroblastoma with transfer imaging data , analysis of the spìraI CT manifestations. Results: 11 patients , lesion primary peritoneal latter in 5 cases. includìng 1 wìth lìver metastasìs ìn 2 cases , ilium transfer cases , skull metastasìs in 1 case; Primary mediastìnal lesìons in 4 cases , ìncluding supraclavicular lymph node metastasis (3 cases) , lung metastasis in 1 case; Primary in vertebral side in 2 cases , including 1 rib metastasìs , liver metastasis in 1 case; Metastases spiral CT performance for the type of circular , cìrcular shadow. bone destructìon , lymph node enlargement wìth peripheral , st陀ngthen evenly in pulmonary nodules. Conclusion: Spiral CT manifestation of neuroblas- toma metastases , but there are certain characteristics , familiar wìth the ìmaging features , can provide ìmportant information for clinical diagnosis of the diseas