纵隔海绵状血管瘤10例临床分析
苏凯;林蒙;鲁海珍;陈舒兰;刘向阳;牟巨伟;高树庚;赫捷
【期刊名称】《中华医学杂志》 【年(卷),期】2015(095)020 【
摘
要
】
Objective
To and
explore prognosis
the of
clinical cavernous
characteristics,diagnosis,treatment
hemangioma of mediastinum (CHM).Methods Retrospective analyses were performed for the clinical data of 10 CHM patients at our hospital along with a literature review.Results The clinical symptoms and signs were nonspecific.Although computed tomography (CT) showed mediastinal
cystic
mass,a
definite
diagnosis
could
not
be
reached.Complete surgical excision was performed with a pathological confirmation of CHM.Neither recurrence nor mortality occurred during the postoperative followup up to 12 years.Conclusions CHM is rare and frequently misdiagnosed.Hypodensity or calcification inside mass on CT is diagnostic.A definite diagnosis is dependent upon typical tumor appearances and pathological report of puncture biopsy.Excision is an effective cure with a fair prognosis.%目的 探讨纵隔海绵状血管瘤(CHM)的临床特点,诊断治疗和预后.方法 回顾性分析1999至2014年期间中国医学科学院肿瘤医院收治的10例纵隔海绵状血管瘤患者的临床病理资料,并复习文献.结果 10例患者就诊时临床症状体征无特异性,影像学检查可见纵隔囊性肿块,但术前不能确诊.通过手术完整切除肿瘤,病理确诊为CHM.术后随访所有患者均无复