论文部分内容阅读
目的探讨脾血管淋巴管瘤的CT表现及其病理特征。方法回顾性分析12例经手术病理证实的脾血管淋巴管瘤的临床及CT资料,对其CT表现及病理特征进行分析。结果 12例中,8例为多发病灶,1例为2个病灶,3例为单发病灶;分别有4例可见钙化或分隔;4例病灶为囊性,3例为实性,3例为囊实性,2例为囊性及实性病灶混合存在。囊性病灶病理以淋巴管成分为主,增强扫描无强化,实性病灶病理以血管成分为主,动脉期及静脉期均为轻度强化。结论脾血管淋巴管瘤可为囊性、实性、囊实性或混合性,可伴或不伴钙化及分隔,肿瘤强化方式与其血管及淋巴管成分所占比例不同有关,病理结合免疫组织化学检查是本病的确诊方式。
Objective To investigate the CT findings and pathological features of splenic lymphangioma in spleen. Methods The clinical data and CT data of 12 cases of splenic lymphangioma confirmed by surgery and pathology were retrospectively analyzed. Their CT findings and pathological features were analyzed. Results Among 12 cases, 8 cases were multiple lesions, 1 case was 2 lesions and 3 cases were single lesions; 4 cases were calcified or separated, 4 cases were cystic, 3 cases were solid, 3 cases were Cystic solid, 2 cases of cystic and solid lesions mixed existence. The pathological features of cystic lesions were mainly lymphatic vessels, no enhancement in enhanced scanning, and the main pathological features of solid lesions were blood vessel components. Both arterial phase and venous phase were mild enhancement. Conclusion The splenic vessel lymphangioma may be cystic, solid, cystic solid or mixed, with or without calcification and separation. The enhancement of the tumor is related to the different proportion of the vessels and lymphatic vessels, and the pathology combined with immunohistochemistry Check is the diagnosis of the disease.