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Analysis the Misdiagnosis of Mediastinal Mass as lymphoma with CT
Author(s): 
Pages: 630-633
Year: Issue:  7
Journal: JOURNAL OF CLINICAL RADIOLOGY

Keyword:  淋巴瘤纵隔体层摄影术X线计算机;
Abstract: 目的分析纵隔内肿块性病变易误诊为淋巴瘤的主要原因,探讨纵隔病变的CT鉴别诊断要点. 资料与方法回顾性分析20例CT误诊为纵隔淋巴瘤,后经手术病理或穿刺活检证实为其他病变的纵隔肿物,分析其临床及CT表现与淋巴瘤的鉴别点. 结果 20例误诊病例的最终结果分别为:淋巴结结核6例,组织坏死性淋巴结炎2例,艾滋病(AIDS)淋巴结肿大2例,淋巴结转移癌4例,结节病3例,食管癌2例,支气管源性囊肿1例.均表现为纵隔肿块和/或淋巴结肿大,但在病变位置和病变特点上有所不同. 结论纵隔肿块性病变的CT诊断须将病变位置、病变特点与临床资料相结合,才能减少误诊,提高诊断准确率.
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