22例肺硬化性血管瘤影像学分析

Radiological findings of pulmonary sclerosing hemangioma:22 cases analysis

目的加深对肺硬化性血管瘤的认识以提高诊断水平。方法结合22例肺硬化性血管瘤患者的临床资料和文献复习,详细分析该病的病因、临床表现、诊断、鉴别诊断、治疗及预后等。结果22例中的20例被证实的硬化性血管瘤患者均行胸外手术治疗。随访时间1个月～5年不等。20例手术病人术后均无复发和转移。术中见肺内直径约1cm～6.0cm大小不等肿块,质中、光滑、包膜均完整,能完整切除。影像学检查主要表现为肺部孤立、境界清楚的结节影。结论肺硬化性血管瘤是一种少见的良性真性肿瘤,具有独特的临床病理特点,诊断有赖于计算机体层摄影术表现和组织病理学特点的结合,否则容易误诊,治疗以手术治疗为主。

Objective Purpose： To describe pathological and radiological features of pulmonarysclerosing hemangioma. Methods The radiological features of twenty-two patients with sclerosing hemangioma of the lung were studied retrospectively and were correlated with the pathologic findings of the resected specimens. Results twenty patients were cured by operation and had been followed up to five years. Sclerosing hemangiomas appeared as solitary, well-defined masses. Conclusion Sclerosing hemangioma is a rare pulmonary tumor. Clinical and radiological findings are variable.