肺硬化性血管瘤的影像诊断(附1例报告并文献复习)

Imaging Diagnosis of Pulmonary Sclerosising Hemangioma (Case Report and Lecture Review)

目的:提高对肺硬化性血管瘤的临床影像表现的认识。材料与方法:搜集有完整的影像学检查资料的肺硬化性血管瘤1例,结合文献进行详细分析。结果:肺硬化性血管瘤的影像表现:肺内外围孤立性球形肿块或结节,边缘光滑锐利,可有浅分叶或小钙化,瘤周可见包膜,包膜可钙化,瘤外周或瘤体内有时可见“空气新月征”,增强扫描病灶明显强化,并可见多量线样血管影,可出现“快进慢出”的强化表现。结论:根据影像特点,结合临床,可对部分肺硬化性血管瘤作出初步诊断。

Purpose： To improve the recognition of the imaging of pulmonary selerosiang hemangioma （PSH）. Materials and Methods： Imaging of one case PSH was carried on detailed analysis with literature. Results： The imaging findinss of PSH as follow： （1）solitarymass or nodule located in lung with sharp and smooth margin, sometimes with slight lobulation or sand calcifiction. （2） the era, elope could be seen around the tumor and also could be calcified. Sometimes air- meniccus sign was showed around or in the ironer. （3） after injection, the lesion was distinct enhancement, much thread blood vessel shadow also could been seen, some appear the enhancing manifestation of ＂ fast - in and slow- out＂. Condusion： some PSH can be primary diagnosis on the basis of the feature in imagine.