脾脏多发占位性病变的CT、MRI表现
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摘要
目的探讨脾脏多发占位性病变的CT、MRI表现。方法回顾性分析17例经手术病理证实的脾脏多发占位性病变患者的临床及影像学资料。结果 17例脾脏多发性占位性病变中脾戈谢病1例,间皮囊肿1例,隐球菌病1例,脾结核5例,淋巴瘤4例,脾脉管瘤5例。14例行CT检查,1例行MRI检查,2例行CT、MRI检查。CT和MRI可以很好的显示病灶大小、形态、密度/信号、强化特点,脾脏不同多发占位病变各有一定的CT及MRI特点。结论 CT、MRI是脾脏多发占位性病变的重要检查手段,MRI对某些脾脏病变的诊断及鉴别诊断价值优于CT,可作为首选检查方法之一。
Objective To study the CT and MRI findings of splenic multiple space-occupying lesions( SMSOL). Methods The clinical and radiological data of seventeen patients with various SMSOL proved by pathological diagnosis were analyzed retrospectively. Results Of the seventeen cases with SMSOL,one case had Gaucher disease,one case had mesothelial cyst,one case had cryptococcosis,five cases had tuberculosis,four cases had lymphoma,and five cases had vascular tumor. CT scans were performed in fourteen cases and MRI scan was performed in one case. Two cases underwent both CT and MRI examinations. CT and MRI scan could well demonstrate the size,shape,density/signal and enhancement patterns of the lesions. Different SMSOL had its own CT and MRI features. Conclusion CT and MRI are excellent tools for the detection of the SMSOL. For some splenic diseases,MRI can be the first choice because it has better diagnostic and differential diagnostic value than CT.
Objective To study the CT and MRI findings of splenic multiple space-occupying lesions( SMSOL). Methods The clinical and radiological data of seventeen patients with various SMSOL proved by pathological diagnosis were analyzed retrospectively. Results Of the seventeen cases with SMSOL,one case had Gaucher disease,one case had mesothelial cyst,one case had cryptococcosis,five cases had tuberculosis,four cases had lymphoma,and five cases had vascular tumor. CT scans were performed in fourteen cases and MRI scan was performed in one case. Two cases underwent both CT and MRI examinations. CT and MRI scan could well demonstrate the size,shape,density/signal and enhancement patterns of the lesions. Different SMSOL had its own CT and MRI features. Conclusion CT and MRI are excellent tools for the detection of the SMSOL. For some splenic diseases,MRI can be the first choice because it has better diagnostic and differential diagnostic value than CT.
引文
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[13]路涛,蒲红,杨诚,等.脾脉管瘤的CT表现及其鉴别诊断[J].临床放射学杂志,2015,34(3):397-400.
[2]Poll LW,Koch JA,Vom Dahl S,et al.Gaucher disease of the spleen:CT and Mr findings[J].Abdom Imaging,2000,25(3):286-289.
[3]莫世发,刘自明,贾乾斌.腹腔镜下脾脏切除治疗脾脏巨大间皮囊肿1例报道[J].中国普外基础与临床杂志,2012,19(7):742.
[4]Chen M,Wang X,Yu X,et al.Pleural effusion as the initial clinical presentation in disseminated cryptococcosis and fungaemia:an unusual manifestation and a literature review[J].BMC Infect Dis,2015,15(1):385.
[5]王叨,张敬芳,魏琳琳,等.15例儿童隐球菌病的临床分析[J].中国妇幼保健,2012,27(31):4903-4905.
[6]Lin SF,Zheng L,Zhou L.Solitary splenic tuberculosis:a case report and review of the literature[J].World J Surg Oncol,2016,14(1):154.
[7]周荣智,冉崇建,刘国庆.脾结核的影像学诊断(附9例报告)[J].临床放射学杂志,2001,20(5):365-367.
[8]Lim J,Yu JS,Hong SW,et al.A case of Mass-Forming splenic tuberculosis:MRI findings with emphasis of Diffusion-Weighted imaging characteristics[J].J Korean Med Sci,2011,26(3):457-460.
[9]Li M,Zhang L,Wu N,et al.Imaging findings of primary splenic lymphoma:a review of 17 cases in which diagnosis was made at splenectomy[J].PLo S One,2013,8(11):80264.
[10]詹勇,向子云,王静波,等.脾脏淋巴瘤的CT特征[J].中国医学影像技术,2011,27(2):330-332.
[11]钱民,李小荣,邓杰航,等.动态CT增强扫描对脾血管瘤的诊断价值分析[J].临床放射学杂志,2014,33(11):1683-1686.
[12]申景涛,贾支俊,辛小燕,等.脾脏占位性病变的CT-PET-CT诊断及鉴别诊断[J].医学影像学杂志,2009,19(10):1299-1302
[13]路涛,蒲红,杨诚,等.脾脉管瘤的CT表现及其鉴别诊断[J].临床放射学杂志,2015,34(3):397-400.