目的:總結胸腺類癌的臨床表現、病理特征、CT表現及其臨床價值。方法:對本院收治的2例胸腺類癌進行分析并結合文獻復習。結果:胸腺類癌發病率低,大部分早期患者無臨床癥狀,經胸部X線、CT檢查時發現;中晚期始出現癥狀。病理檢查出類癌后,電鏡可見神經內分泌顆粒,免疫組化顯示神經特異性烯醇化酶、腫瘤嗜鉻蛋白A、促皮質素陽性。胸部CT表現特征為起于前上縱隔腫塊,常位于心底部大血管和心包周圍,腫塊內密度不均,可見鈣化,增強后輕中度強化,易發生胸內外轉移。結論:胸腺類癌是一罕見的前縱隔腫瘤,根據CT特征,結合臨床可有助診斷、指導手術、推測預后,因此CT在臨床診治中有非常重要的價值。
Citation:
WEN Xiaoling,DENG Kaihong.. The CT Diagnosis of Thymic Carcinoid and the Literature Review. West China Medical Journal, 2009, 24(2): 400-402. doi:
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