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| The value of CT diagnosis in three kinds of pleural thickening lesions |
| LI Wenbin, JI Xiaowei, Cai Mengting, Chen Cong, WU Enfu. |
| Department of Radiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015 |
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| Cite this article: |
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LI Wenbin,JI Xiaowei,Cai Mengting, et al. The value of CT diagnosis in three kinds of pleural thickening lesions[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2018, 48(6): 446-449.
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Abstract Objective: To explore the value of CT in the diagnosis and differential diagnosis of tuberculous pleurisy (TP), metastatic pleural disease (MPD) and malignant pleural mesothelioma (MPM). Methods: The CT images of 143 patients with pleural thickening (TP 95, MPD 31, MPM 17) proved pathologically were reviewed retrospectively in the First Affiliated Hospital of Wenzhou Medical University from January 2008 to April 2017. Combined with CT imaging data, imaging features of each disease were analyzed, and the significance of differential diagnosis was discussed. Results: In patients with TP, the most common features were male, local, smooth and non-circumferential pleural thickening, homogenous enhancement, no mediastinal pleural involvement with lymph node enlargement. Female, diffuse, irregular, nodular, non-circumferential pleural thickening, homogenous enhancement and mediastinal pleural involvement without lymph node enlargement were more frequently seen in MPD group. Female, diffuse, nodular non-circumferential pleural thickening, pleural based mass, inhomogeneous enhancement, no mediastinal pleural involvement and lymph node enlargement were more frequently seen in MPM group. TP group was younger than MPD group and MPM group. The maximal pleura thickness of TP group was shorter than that of MPD group, which was even shorter than that of MPM group. Conclusion: Age, sex, maximum pleural thickness, lesion range, shape, style, enhancement pattern, mediastinal pleural involvement and lymph node enlargement were factors of significance in differentiating tuberculous pleurisy, pleural metastases and malignant pleural mesothelioma.
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Received: 06 November 2017
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[1] METINTAS M, UCGUN I, ELBEK O, et al. Computed tomography features in malignant pleural mesothelioma and other commonly seen pleural diseases[J]. Eur J Radiol, 2002, 41(1): 1-9.
[2] YILMAZ U, POLAT G, SAHIN N, et al. CT in differential diagnosis of benign and malignant pleural disease[J]. Monaldi Arch Chest Dis, 2005, 63(1): 17-22.
[3] 陈聪, 傅钢泽, 陈永华, 等. 肺腺癌浸润前病变的CT诊断评价[J]. 温州医科大学学报, 2016, 46(10): 738-742.
[4] YILMAZ U M, UTKANER G, YALNIZ E, et al. Computed tomographic findings of environmental asbestos-related malignant pleural mesothelioma[J]. Respirology, 1998, 3(1): 33-38.
[5] 谢晓霞, 张晨瑶, 苏保民. 结核性胸膜炎的CT表现及诊断价值[J]. 黑龙江医学, 2005, 29(2): 100-101.
[6] 孙磊明, 戴元荣. 胸膜结核瘤六例分析[J]. 温州医学院学报, 2007, 37(5): 506-507.
[7] YILMAZ M U, KUMCUOGLU Z, UTKANER G, et al. Computed tomography findings of tuberculous pleurisy[J]. Int J Tuberc Lung Dis, 1998, 2(2): 164-167.
[8] 谌力群, 韩凯滨, 潘恒, 等. 胸膜转移瘤的CT诊断价值[J]. 影像诊断与介入放射学, 2007, 16(3): 121-122.
[9] 丁长青, 丁爱兰, 王文生. CT对胸膜弥漫性结节病变的诊断价值[J]. 现代中西医结合杂志, 2009, 18(13): 1532-1533.
[10] 叶民, 叶彩儿, 余苔痕, 等. 胸膜间皮瘤11例CT表现分析[J]. 实用医学杂志, 2007, 23(9): 1364-1365.
[11] KIM Y K, KIM J S, LEE K W, et al. Multidetector CT findings and differential diagnoses of malignant pleural mesothelioma and metastatic pleural diseases in Korea[J]. Korean J Radiol, 2016, 17(4): 545-553. |
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