Head and Neck Imaging

The Multisliecs Helieal CT Imaging Characteristics of Pulmonary Sclerosing Hemangioma (PSH) and Its Pathological Basis

Author:YIN Can, YU Hao, LU Fei-fei, et al.

affiliation:Medical Imaging Center, Fuzhou Teaching Hospital of Bengbu Medical College, Fuzhou 350025, Fujian Province, China

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Abstract

Objective To investigate the Multisliecs Helieal CT imaging characteristics of pulmonary sclerosing hemangioma (PSH) and its pathological basis, so as to improve the further understanding of the disease. Methods MSCT features and preoperative diagnostic accuracy were retrospectively analyzed of 13 patients with pathologically proven PSHs after surgery. Results 10 images in our study presented solitary pulmonary nodules or masses, only 1 case had two nodes, 2 cases of lesions had Halo sign. 11 cases less than 3 cm diameter, Maximum lesions diameter about 10 cm, minimum 0.8 cm. After contrast agent administraction, 6 cases showed prominent enhancement, 3 case with imhomogeneous enchancement, and another 4 case with progressive enancement, 1 case with unconspicuous enchancement. Conclusion The MSCT image features of PSH have mutiple characteristics and combined with MPR technique of MSCT, not only display morphology and relations with nearby blood vessels and bronchi of PSH, but also reflect net enhancement on vascular phase which indicate distinctive pathology of PSH, which is helpful in diagnosis of PSH.

【Keyword】Pulmonary Sclerosing Hemangioma; Tomography; Computed; Pathology

【Chart number】R732.2

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2017.03.020