正常胸腺及胸腺病变-CT表现.ppt

侵袭性胸腺瘤明确的CT征象：纵隔结构的包绕，直接侵犯中心静脉、心包或 胸膜种植转移和晚期发生的跨膈肌扩散。 Thymoma tends to spread along the pleural surfaces and may extend into the abdomen via the retrocrural space. (A) Small discrete pleural implant (black arrow), visualized to advantage on lung window.(B) Left retrocrural spread (white arrow). (C) Retroperitoneal implant (black short arrow). 胸腺癌 WHO被分为C型，具有胸腺以外的细胞结构特征，缺乏成熟的淋巴细胞。 诊断需排除其他部位的原发肿瘤，因其组织学特征类似于起源于胸腺外的癌。少伴有重症肌无力。 CT表现为前纵隔大的肿物，具有侵袭性特点，特点与侵袭性胸腺瘤非常相似。但淋巴性及血源性转移几乎仅见于胸腺癌。 胸腺癌 Thymic squamous cell carcinoma in a 40-year-old male. (A, B) Large heterogenous mass extending along the perica