胸膜外孤立性纤维瘤的CT表现和病理对照.pdf

DO I :10.13437/j .cnki .j cr .2008.01.028 ·128 · 2008 27 1 综论 CT 陆　明, 郭德玉, 王　健 【】　目的　 CT, 。 资料与方法　 9 CT, 。 结果　9 3 , 、、 、、 1。 , /。 , , , 。 , 、, , 、 , , , 、、, 。 :Vmientin 100%(5/5 ), CD99 100%(7 /7 ), CD34 85.7%(6 /7 ), Bcl-2 83.3% (5 /6 ), SMA 37.5%(3/8), S-100 16.7% (1/6 )。 结论　, CT。 。 【】　　, 　 TheComparativeStudyofCTandPathologyinExtrapleuralSolitaryFibrousTumor LUMin,gGUODeyu, WANGJian DepartmentofRadiology.WestsouthHospitaloftheThirdMilitaryMedicalUniversity, Chongqing40003 8 P.R.China 【Abstract】　Objective　TodiscusstheCTfindingsofextrapleuralsolitaryfibroustumo.r MaterialsandMethods　 CTfindingsof9 caseswithextrapleuralsolitaryfibroustumorprovedbypathologywereretrospectivelyreviewed, andcom- paredwithpathologicalresults. Results　Therewere3 casesinnasalcavityandnasalsinuse;sand1 caseinoropharynx, parotidgland, intraorbita,laxillaryfoss,a intraabdomina,liliacfossarespectively.Lesionsinnasalcavityandnasalsinuses occupiedwholenasalcavityand/ornasalsinuse,ssinuseswallorintervalcouldbedestructive.Tumorsofothersitepresen- tedaswelldelineatedmasse,shomogenousorinhomogenou,s andenhancedmarkedly.Capsuleoftumorcannotbedis- playedonplainCTandenhancedCTbutdepictedonpathologicexamination.Thecharacteristicmicroscopicfeaturesin- cludedpatternlessgrowthpattern, alternatinghyperandhypocellulararea,sbluntspindlecellswithinkeloid-likehyaliniza- tion, andhemangiopericytoma-likeregion.sPositiveimmunohistochemicalstaining:Vimentin100% (5 /5 ), CD99 100% (7 /7 ), CD34 85.7%(6 /7 ), Bcl-2 83.3%(5 /6 ), SMA37.5% (3/8), S-100 16.7%(1/6 ).Conclusion　Solitaryf-i broustumorcanbefoundineveryextrapleuralsite.sTheCTfindingsofextrapleuralsolitaryfibroustumoraresomecharac- teristic.Diagnosiscanbemadecombinedmic