胸腺瘤的影像诊断及分期.pptVIP

;胸腺瘤影像诊断及分期;流行病学;流行病学; 胸腺原发上皮本源肿瘤：胸腺瘤和胸腺癌 胸腺瘤最常有;胸腺瘤影像诊断及分期;病理特点;病理特点;病理特点;病理特点;胸腺瘤的WHO病理分类表;注：a.A型；b.B1型；c.B2型；d.B3型;病理分类限制性;病理分类限制性;病理分类主要作用;胸腺瘤影像诊断及分期;临床特点;临床特点;临床特点;胸腺瘤影像诊断及分期;Masaoka-koga分期及临床办理原则;胸腺瘤的治疗;胸腺瘤的治疗;胸腺瘤的治疗;胸腺瘤影像诊断及分期;;影像学的作用;影像学的作用;影像学的作用;影像学的作用;正常小儿胸腺;女性，23岁，尤文氏肉瘤患者。a.化疗开始前b.化疗结束后3个月，胸腺增生;女性，25岁，胸腺增生伴重症肌无力a.同相位T1WI；b.反相位T1WI;胸腺瘤X线表现;进展期X线征象;侵袭性胸腺瘤男，55岁，无显然临床症状;膈神经受累（右膈面抬高）男，60岁;胸膜转移女，36岁;CT表现;CT表现;CT表现;胸腺瘤钙化;血管受侵征象;胸膜播散;肿瘤侵袭性依据;进展期征象;以下表现提示胸腺瘤可能性较小…;StageIinMDCTandMasaokastagingsystem;WHOtypeA，MasaokastageI;stageIIinMDCTandMasaokastagingsystem;stageⅢinMDCTandMasaokastagingsystem;stageⅢinMDCTandMasaokastagingsystem;stageⅢinMDCTandMasaokastagingsystem;stageⅢinMDCTandMasaokastagingsystem;stageⅣinMDCTandMasaokastagingsystem;MRI表现;MRI表现;WHOtypeB1thymomaina47-year-oldwomanwithleft-sidedneckpain.(a)AxialT1-weightedMRimageshowsaroundedintermediate-signal-intensitymass(M)intheanteriormediastinum.(b)Axialfat-suppressedT2-weightedMRimagedemonstratesa6-cmanteriormediastinalmass(M)withhighsignalintensityattheleveloftheascendingaorta(Ao).Themasswasdiagnosedasalymphocyte-richWHOtypeB1thymomaatresection.;StageIIIthymomaina52-year-oldmanwithchestpainanddyspnea.(a)Axialdouble-inversion-recoveryMRimagedemonstratesa4-cmlobulatedmassthatabutsthepericardium(arrow).(b)Contrast-enhancedmultiplanardouble-inversion-recoveryshort-axisMRimagedemonstratestumorinvasionofthepericardium(arrow)andepicardialfat(arrowhead),findingsthatwereconfirmedatthymectomyandpericardialresection.;胸腺瘤Ⅲ期女性，54岁，头面部肿胀，肿瘤侵犯上腔静脉，包绕右冠状动脉;MRI表现;MRI表现;Cysticthymomainanasymptomatic35-year-oldwoman.CoronalT2-weightedMRimageshowsananteriormediastinalseptatecysticthymomawithaseptatedsoft-tissuenodule(arrow).;MRI表现;MRI表现;PET/CT;PET/CT;Pleuralrecurrenceina38-year-oldwomanwithpreviouslytreatedstageIVathymoma.(a)PostoperativebaselineCTscanshowsnormalrightbasilarpleuraadjacenttotheattachmentofthediaphragmtothechestwall(arrow).(b)Follow-upcontrast-enhancedchestCTscanobtained2yearslatershowsincreaseddiaphragmaticpl