留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

炎性肌纤维母细胞瘤计算机断层摄影表现

李斌 潘卫东 秦明伟

李斌, 潘卫东, 秦明伟. 炎性肌纤维母细胞瘤计算机断层摄影表现[J]. 协和医学杂志, 2011, 2(3): 205-208. doi: 10.3969/j.issn.1674-9081.2011.03.003
引用本文: 李斌, 潘卫东, 秦明伟. 炎性肌纤维母细胞瘤计算机断层摄影表现[J]. 协和医学杂志, 2011, 2(3): 205-208. doi: 10.3969/j.issn.1674-9081.2011.03.003
Bin LI, Wei-dong PAN, Ming-wei QIN. Computed Tomography Features of Inflammatory Myofibroblastic Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(3): 205-208. doi: 10.3969/j.issn.1674-9081.2011.03.003
Citation: Bin LI, Wei-dong PAN, Ming-wei QIN. Computed Tomography Features of Inflammatory Myofibroblastic Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(3): 205-208. doi: 10.3969/j.issn.1674-9081.2011.03.003

炎性肌纤维母细胞瘤计算机断层摄影表现

doi: 10.3969/j.issn.1674-9081.2011.03.003
详细信息
    通讯作者:

    秦明伟 电话:010-65295434, E-mail:qinmingwei@hotmail.com

  • 中图分类号: R730.262;R814.42

Computed Tomography Features of Inflammatory Myofibroblastic Tumor

More Information
  • 摘要:   目的  探讨炎性肌纤维母细胞瘤的计算机断层摄影(computed tomography, CT)表现, 以提高对该病CT表现的认识。  方法  选择本院9例经病理证实的炎性肌纤维母细胞瘤患者, 回顾性分析其CT平扫及增强表现。  结果  CT示肺内肌纤维母细胞瘤3例, 2例表现为界限清楚的肿块, 1例仅表现为支气管阻塞, 未见肿块; 纵隔肌纤维母细胞瘤3例, CT均表现为软组织密度肿块, 1例界限清楚, 2例与周围结构分界不清; 鼻根部、颈部及盆腔肌纤维母细胞瘤各1例, 表现为囊实性或实性肿块, 部分病变界限不清, 侵犯周围组织; 3例病变增强扫描后呈明显不均匀强化。  结论  炎性肌纤维母细胞瘤CT表现具有一定的特点, 但最终确诊仍需依靠病理学。
  • 图  1  肺内炎性肌纤维母细胞瘤CT表现

    A. CT增强示右肺中叶界限清楚的肿块(黑箭头),大小8. 4 cm × 7. 4 cm × 7. 0 cm,明显不均匀强化,并可见右肺中叶支气管闭塞(白箭)及远端肺不张(白星); B. 7个月后复查,CT增强示肝表面转移灶,呈软组织团块,明显不均匀强化(黑箭头)

    图  2  纵隔炎性肌纤维母细胞瘤CT表现

    A. CT平扫示升主动脉、上腔静脉、肺动脉间软组织密度占位(白箭头),密度均匀,界限清楚; B. CT病变增强后上述病变明显强化,内部无明显强化低密度区(黑箭头)

    图  3  鼻根部炎性肌纤维母细胞瘤CT表现

    A.软组织窗右侧鼻根部实性占位(黑箭头),呈软组织密度,部分突入右眼眶; B.骨窗示邻近筛窦骨质破坏显示清晰(白弯箭头); C.冠状位显示病变侵入右侧眼眶更加清楚(白箭),左侧上颌窦黏膜增厚

    图  4  盆腔炎性肌纤维母细胞瘤CT表现

    A. CT平扫示盆腔左侧圆形囊实性病灶(白箭),内部密度不均,囊壁内缘欠光滑; B. CT增强示病变内分隔,囊壁及分隔明显强化,内部液性密度未见强化,病变周围脂肪间隙模糊,与周围肠道分界欠清(黑箭头)

  • [1] Fletcher CD, Unni KK, Mertens F. World health organization classifi-cation of tumours pathology and genetics of tumours of soft tissue and bone[M]. Lyon:IARC Press, 2002:47-107.
    [2] Kovach SJ, Fischer AC, Katzman PJ, et al. Inflammatory myofibroblastic tumors[J]. J Surg Oncol, 2006, 94:385-391. doi:  10.1002/jso.20516
    [3] Coffin CM, Watterson J, Priest JR, et al. Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor). A clinicopatholgic and immumohistochemical study of 84 cases[J]. Am J Surg Pathol, 1995, 19:859-872. doi:  10.1097/00000478-199508000-00001
    [4] Chen CK, Jan CI, Tsai JS, et al. Inflammatory myofibroblastic tumor of the lung-a case report[J]. J Cardiothorac Surg, 2010, 5:55. doi:  10.1186/1749-8090-5-55
    [5] Sambhaji CJ, Chauhan A, Kakkar C. Inflammatory myofibroblastic tumor mimics an abdominal neoplasm[J]. Gastrointest Cancer Res, 2009, 3:254-255. http://pubmedcentralcanada.ca/pmcc/articles/PMC3000074/
    [6] Sugiyama K, Nakajima Y. Inflammatory myofibroblastic tumor in the mediastinum mimicking a malignant tumor[J]. Diagn Interv Radiol, 2008, 14:197-199. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Open J-Gate000001236971
    [7] Tang L, Lai EC, Cong WM, et al. Inflammatory myofibroblastic tumor of the liver:a cohort study[J]. World J Surg, 2010, 34:309-313. doi:  10.1007/s00268-009-0330-x
    [8] Park SB, Lee JH, Weon YC. Imaging findings of head and neck inflammatory pseudotumor[J]. AJR Am J Roentgenol, 2009, 193:1180-1186. doi:  10.2214/AJR.09.2398
    [9] Yagci MA, Sezer A, Yeldan E, et al. Inflammatory myofibroblastic tumor presenting as an abdominal wall mass in an adult patient[J]. J Cancer Res Ther, 2010, 6:224-226. doi:  10.4103/0973-1482.65243
    [10] Chen J, Li H, Yang Z, et al. Inflammatory myofibroblastic tumor of bone:two cases occurring in long bone[J]. Skeletal Radiol, 2011, 40:117-122. doi:  10.1007/s00256-010-0998-x
    [11] Thistlethwaite PA, Renner J, Duhamel D, et al. Surgical management of endobronchial inflammatory myofibroblastic tumors[J]. Ann Thorac Surg, 2011, 91:367-372. doi:  10.1016/j.athoracsur.2010.09.017
    [12] Kim TS, Han J, Kim GY, et al. Pulmonary inflammatory pseudotumor (inflammatory myofibroblastic tumor):CT features with pathologic correlation[J]. J Comput Assist Tomogr, 2005, 29:633-639. doi:  10.1097/01.rct.0000168363.60191.f8
    [13] Pannain VL, Passos JV, Rocha Filho A, et al. Agressive inflammatory myofibroblastic tumor of the liver with underlying schistosomiasis:a case report[J]. World J Gastroenterol, 2010, 16:4233-4236. doi:  10.3748/wjg.v16.i33.4233
    [14] van den Heuvel DA, Keijsers RG, van Es HW, et al. Invasive inflammatory myofibroblastic tumor of the lung[J]. J Thorac Oncol, 2009, 4:923-926. doi:  10.1097/JTO.0b013e3181a76e28
    [15] Horger M, Pfannenberg C, Bitzer M, et al. Synchronous gastrointestinal and musculoskeletal manifestations of different subtypes of inflammatory myofibroblastic tumor:CT, MRI and pathological features[J]. Eur Radiol, 2005, 15:1713-1716. doi:  10.1007/s00330-004-2453-7
    [16] Kishi K, Fujii T, Kurosaki A, et al. Recurrence of inflammatory pseudotumor of the lung after eleven years of remission[J]. Intern Med, 2009, 48:1079-1083. doi:  10.2169/internalmedicine.48.2043
  • 加载中
图(4)
计量
  • 文章访问数:  199
  • HTML全文浏览量:  72
  • PDF下载量:  1
  • 被引次数: 0
出版历程
  • 收稿日期:  2011-05-18
  • 刊出日期:  2011-07-30

目录

    /

    返回文章
    返回

    【温馨提醒】近日,《协和医学杂志》编辑部接到作者反映,有多名不法人员冒充期刊编辑发送见刊通知,鼓动作者添加微信,从而骗取版面费的行为。特提醒您,本刊与作者联系的方式均为邮件通知或电话,稿件进度通知邮箱为:mjpumch@126.com,编辑部电话为:010-69154261,请提高警惕,谨防上当受骗!如有任何疑问,请致电编辑部核实。谢谢!