异位胸腺瘤5例影像学表现临床分析.docVIP

异位胸腺瘤5例影像学表现临床分析 　　[摘要] 目的 探讨异位胸腺瘤（ET）的影像学表现，以提高对ET的认识。 方法 回顾性分析浙江大学金华中心医院2010～2016年经病理证实的5例ET临床及影像学资料。其中CT平扫+增强扫描3例，CT平扫并MRI增强扫描1例，CT平扫+增强并PET/CT扫描1例。 结果 5例ET临床表现为乏力2例、无症状3例。发生于下颈部2例，后下纵隔2例，左侧胸膜累及纵隔1例。影像学5例平扫CT均表现为密度均匀，CT值范围33～51 HU，4例增强扫描动脉期结节状强化，静脉期均匀强化，平均强化幅度为34 HU；1例MRI表现为呈等T1等T2信号，增强扫描明显均匀强化；1例PET/CT表现为18F-FDG代谢明显增高。 结论 异位胸腺瘤少见，临床表现缺乏特异性，本组5例影像学表现具有一定特征：平扫密度均匀，增强扫描明显强化，PET/CT呈高代谢。正确认识其表现有助于提高诊断准确性。 　　[关键词] 异位胸腺瘤；CT；MRI；PET/CT 　　[中图分类号] R746.1；R655.7 [文献标识码] A [文章编号] 1673-7210（2017）03（b）-0127-05 　　Imaging features of ectopic thymoma：report of five cases and review of literature 　　DONG Ke1 CUI Can2 WANG Lixia3 WEN Guanghua1▲ 　　1.Department of Nuclear Medicine， Jinhua Hospital of Zhejiang University， Zhejiang Province， Jinhua 321000，China； 2.Department of Radiology， Jinhua Hospital of Zhejiang University， Zhejiang Province， Jinhua 321000， China； 3.Department of Pathology， Jinhua Hospital of Zhejiang University， Zhejiang Province， Jinhua 321000， China 　　[Abstract] Objective To investigate the imaging features of ectopic thymoma， in order to improve the understanding of ectopic thymoma. Methods From 2010 and 2016， the clinical and radiographic data of 5 cases with ectopic thymoma proved by pathological results were analyzed retrospectively. 3 patients underwent enhanced CT examination， 1 patient underwent unenhanced CT and contrast-enhanced MRI examination， 1 patient underwent enhanced CT and PET/ CT examination. Results Among 5 cases， 2 cases showed symptoms of fatigue， while 3 cases showed no symptoms. 2 lesions were located in the lower neck， 2 cases were in the posterior-inferior mediastinum， 1 case was in the left pleura invaded in mediastinum. On unenhanced CT， 5 tumors showed homogeneous density （CT value 33-51 HU）. On arterial phase of the enhanced CT of 4 tumors showed nodular enhancement， and on the vein phase showed homogeneous enhancement. Aaverage enhancement degree was 34 HU. On MR images， 1 tumor showed iso-signal both on T1WI and T2WI， obvio