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孤立型纤维性肿瘤CT与病理分析
引用本文:柏玉涵,陈军,黄亚冰,苗焕民,查云飞.孤立型纤维性肿瘤CT与病理分析[J].CT理论与应用研究,2010,19(3):93-98.
作者姓名:柏玉涵  陈军  黄亚冰  苗焕民  查云飞
作者单位:1. 武汉大学人民医院放射科,武汉,430060
2. 武汉大学人民医院病理科,武汉,430060
摘    要:目的:探讨孤立型纤维性肿瘤的CT及病理学特点,提高对该疾病的诊断水平。方法:结合文献回顾性分析3例经手术病理证实的孤立型纤维性肿瘤的临床、CT及病理学资料。结果:孤立型纤维性肿瘤在临床上可无症状或因肿瘤压迫出现不典型症状。在CT上3例表现为实性肿块,增强后实性部分轻度强化或明显强化。SFT因有完整的包膜,故多为境界清楚的软组织密度肿瘤。结论:CT对SFT确诊价值有限,诊断必须结合既往病史、临床症状,确诊有赖于病理学与免疫组织化学诊断。

关 键 词:孤立型纤维性肿瘤  计算机体层摄影术  病理  免疫组织化学

Solitary Fibrous Tumor: Computed Tomography and Pathological Analysis
BAI Yu-han,CHEN Jun,HUANG Ya-bing,MIAO Huan-ming,ZHA Yun-fei.Solitary Fibrous Tumor: Computed Tomography and Pathological Analysis[J].Computerized Tomography Theory and Applications,2010,19(3):93-98.
Authors:BAI Yu-han  CHEN Jun  HUANG Ya-bing  MIAO Huan-ming  ZHA Yun-fei
Institution:a a).Department of Radiology;b).Department of Pathology,Renmin Hospital of Wuhan University,Wuhan 430060,China
Abstract:Objective:To explore the CT manifestations and pathologic features of solitary fibrous tumor(SFT) so as to improve its diagnostic accuracy.Method:The clinical and CT signs and pathologic data of 3 patients with pathologically proved SFT were analyzed and the relative literatures were reviewed.Results:The patients with SFT were lacked of clinical symptoms or presented atypical symptoms due to the oppression of tumor.On CT images the lesion of three cases was large solid mass and the solid part of the mass was mild to apparent enhancement for two cases of the administration of contrast agent.SFT is the soft minors with well-defined margins and smooth contours.Conclusion:The value of CT diagnosis of SFT was limited.The diagnosis of SFT should be combined with history,clinical appearance.The final diagnosis of SFT was depended on the pathology and immunohistochemistry.
Keywords:solitary fibrous tumor  computed tomography  pathology  immunohistochemistry
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