Multislice Spiral CT Features and Pathologic Basis of Cavernous Hemangioma in Mediastinum_West China Medical Journal

Authors：

 HUYa-jun , LUChun-yan , TANGJing ,  LIURong-bo

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIURong-bo, Email: rongbol@126.com

Keywords：

Mediastinal tumor; Cavernous hemangioma; Tomography; X-ray computer; Pathology

DOI：

10.7507/1002-0179.20150589

Video：

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Objective To discuss multislice spiral CT (MSCT) features and pathologic basis of the cavernous hemangioma of mediastinum, and further improve the diagnostic accuracy with CT. Methods We collected 4 cases of cavernous hemangioma in mediastinum from November 2008 to November 2013. All patients underwent MSCT examination of plain scan and enhanced-contrast scan. The CT manifestations of cavernous hemangioma in mediastinum were observed. The correlation of the CT imaging findings with pathology features was analyzed retrospectively. Results Two of the 4 lesions were located in the anterior mediastinum and the other 2 in the posterior mediastinum. On plain scan, 2 lesions showed homogeneous density, and 2 had heterogeneous density. Vessels could be observed in all lesions on enhanced-contrast CT imaging. Conclusion Cavernous hemangioma in mediastinum is often located in the anterior and posterior mediastinum. Calcification and vessels in lesions are its imaging characteristics. Multislice spiral enhanced CT can accurately reflect the characteristics and pathological basis, providing more important information for diagnosis.

Citation： HUYa-jun, LUChun-yan, TANGJing, LIURong-bo. Multislice Spiral CT Features and Pathologic Basis of Cavernous Hemangioma in Mediastinum. West China Medical Journal, 2015, 30(11): 2081-2084. doi: 10.7507/1002-0179.20150589 Copy

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1. 窦乐, 孔博玉, 曹殿波, 等. 前纵隔海绵状血管瘤CT表现(附2例报告)[J]. 中国医学影像技术, 2013, 29(12):2067.
2. 高福平, 马平, 孙琼, 等. 纵隔伴有大量钙化的海绵状血管瘤一例[J]. 实用医技杂志, 2014, 21(5):499.
3. 黄育斌, 卢光明. 中纵隔海绵状血管瘤1例[J]. 医学影像学杂志, 2015, 25(2):221, 225.
4. Cohen AJ, Sbaschnig RJ, Hochholzer L, et al. Mediastinal hemangiomas[J]. Ann Thorac Surg, 1987, 43(6):656-659.
5. 宋伟, 杨永兴, 严洪珍, 等. 纵隔海绵状血管瘤(附四例报告)[J]. 中华放射学杂志, 1999, 33(6):69-70.
6. 张泽均, 顾汉祥, 金春南, 等. 纵隔血管性肿瘤(附8例报告)[J]. 临床放射学杂志, 1992, 11(1):9-11, 59.
7. 王耀程, 魏经国, 白建军, 等. 纵隔海绵状血管瘤CT诊断探讨[J]. 中国医学影像技术, 2002, 18(6):581-583.
8. Wada H, Teramatusu T. Mediastinal tumors-a statistical nation-wide report of 1,546 cases between July, 1975 and May, 1979 in Japan[J]. Nippon Kyobu Geka Gakkai Zasshi, 1982, 30(3):374-378.
9. Davis JM, Mark GJ, Greene R. Benign blood vascular tumors of the mediastinum. Report of four cases and review of the literature[J]. Radiology, 1978, 126(3):581-587.
10. 程建敏, 王宗敏. 纵隔海绵状血管瘤1例[J]. 临床放射学杂志, 1996, 15(6):264-265.
11. Kuo PH, Chang YC, Liou JH, et al. Mediastinal cavernous haemangioma in a patient with Klippel-Trenaunay syndrome[J]. Thorax, 2003, 58(2):183-184.
12. Gurney JW, Winer-Muram HT, Stern EJ, et al. Diagnostic imaging:chest[M]. Salt Lake City:Amirsys, 2006:1-54.
13. 徐敏, 杨琳, 张宏图. 纵隔血管畸形的CT表现[J]. 放射学实践, 2009, 24(2):154-157.
14. Mcadams HP, Rosado-de-Christenson M, Moran CA. Mediastinal hemangioma:radiographic and CT features in 14 patients[J]. Radiology, 1994, 193(2):399-402.
15. Seline TH, Gross BH, Francis IR. CT and Mr imaging of mediastinal hemangiomas[J]. J Comput Assist Tomogr, 1990, 14(5):766-768.
16. Moran CA, Suster S. Mediastinal hemangiomas:a study of 18 cases with emphasis on the spectrum of morphological features[J]. Hum Pathol, 1995, 26(4):416-421.
17. 郑中义, 卢春燕, 邓开鸿. 胸腺瘤与前纵隔淋巴瘤的多层螺旋CT鉴别诊断[J]. 华西医学, 2009, 24(11):2971-2973.
18. 李晓阳, 李会菊, 钟洪波, 等. 原发纵隔胸腺弥漫大B细胞淋巴瘤的CT诊断[J]. CT理论与应用研究, 2008, 17(2):74-79.

West China Medical Journal

Multislice Spiral CT Features and Pathologic Basis of Cavernous Hemangioma in Mediastinum

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