肩胛部弹力纤维瘤的CT诊断

CT Diagnosis of Elasticfibroma in Scapular Region

目的探讨肩胛部弹力纤维瘤的CT表现,提高对此罕见病的认识,以助准确诊断该病.方法回顾分析昆明医科大学第三附属医院2010年12月至2013年10月间经手术和病理证实的6例弹力纤维瘤患者的CT表现和临床病理特点,并结合文献进行分析.结果 6例CT影像均表现为背部肩胛下角区肌肉深面与胸壁之间的扁梭形软组织肿块,边界清楚或局部模糊,呈等或稍低密度,内部夹杂条纹状极低密度脂肪成分,增强后肿块强化不明显或轻度强化.结论根据典型的临床及CT表现,可以在术前较准确的诊断弹力纤维瘤.

Objective To investigate the CT imaging manifestations of elastofibroma in scapular region,and to sharpen the identification of this disease.Methods The CT imaging findings,clinical and pathological features of 6 patients with elastofibroma on scapular region confirmed by pathology after surgical resection were analyzed retrospectively.Results All the CT imaging findings of elastofibroma in scapular region were flat mound-like or semi-circular soft masses located in the right subscapular regions in the back,and between the muscle and the cheast wall.They had a clear or locally fuzzy boundary,and mainly were muscular-like density,and fat densitities were seen along the long axis of the masses.The masses enhanced slightly or did not enhance.Gonclusion Characteristic CT features of elastofibroma in scapular region enable correct preoperative diagnosis.