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作者

徐 璐 吴 鑫 栗付周 张明辉 陈 号 高月华

作者单位

山东第一医科大学(山东省医学科学院)，研究生院，山东 济南 临沂市人民医院，设备科，山东 临沂 临沂市人民医院，放射科，山东 临沂 济宁市第一人民医院，放射科，山东 济宁 潍坊医学院，医学影像学院，山东 潍坊

刊名

Advances in Clinical Medicine

年份

2023

卷号

Vol.13 No.12

页码

19403-19407

ISSN

2161-8712

关键词

气管血管球瘤 影像学 病理学 鉴别诊断 Tracheal Glomus Tumor Imaging Pathology Differential Diagnosis

摘要

Objective: To explore the clinical manifestations, pathological characteristics, imaging manifesta-tions, and differential diagnosis of tracheal glomus tumor. Method: The clinical, pathological and imaging data of tracheal glomus tumor diagnosed in the Linyi people’s hospital was analyzed retro-spectively. Based on previous relevant literatures, the imaging characteristics and differential di-agnosis of tracheal glomus tumor were summarized. Result: The histopathological examination of the patie...更多

Objective: To explore the clinical manifestations, pathological characteristics, imaging manifesta-tions, and differential diagnosis of tracheal glomus tumor. Method: The clinical, pathological and imaging data of tracheal glomus tumor diagnosed in the Linyi people’s hospital was analyzed retro-spectively. Based on previous relevant literatures, the imaging characteristics and differential di-agnosis of tracheal glomus tumor were summarized. Result: The histopathological examination of the patient showed a nest like arrangement of small round cells distributed around the blood ves-sels. Immunohistochemical staining showed that the tumor cells were positive for smooth muscle actin and calcium binding protein . The pathological diagnosis was tracheal glo-mus tumor. The main manifestation of CT showed a nodule protruding from the posterior wall of the trachea into the cavity, with uniform density. The enhanced scan shows obvious and uniform en-hancement in the arterial phase, while continuous enhancement in the venous phase. Conclusion: Tracheal glomus tumors are relatively rare and are mainly diagnosed through pathology and im-munohistochemistry. On CT, there is a significantly enhanced nodule that needs to be differentiated from tumors in the trachea, such as carcinoids, adenoid cystic carcinoma, tracheal schwannoma, and paraganglioma.收起

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