12129

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AbstractObjectiveTo study the CT demenstration of

pulmonary sclerosing hemangioma(PSH) and improve the
accuracy of diagnosis.Methods12 cases with pulmonary

and vascular notch symptom was observed in 2 cases.ConclusionWhen an isolated pulmonary nodular or mass

is observed in a middle-aged woman with obviously enhanced clear margin and air meniscus sign pulmonary

sclerosing hemangioma confirmed pathologically were

retrospectively analyzed.ResultsPSH was round nodule or mass

[-][]
|

with clear margin and was located in the left lung.2 cases had

calcification and 1 case showed both air meniscus sign and

ground-glass opacities.Most lesions were obviously enhanced

sclerosing hemangioma should be preferentially considered.

Key wordsPulmonary sclerosing hemangioma; Tomographyx-ray computed; Diagnosis
(pulmonary sclerosing hemangiomaPSH)
CTCT

12

CTCT

1.112111347051

921

1.2Siemens Somatom Sensation 16CT120 kV

120300 mA5125125 mm5 mmCT1.5

2012

mL/kg2.53.0 mL/s4045 sPSH

CTCTPSH
2
12417CT12
;2213
4;1(1);2(24)2(3)

()572
(23)1(5)/

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12129

CT

3
1956Liebow and Hubbell[1]

CEA
[2]1999WHO1a~1c1a
1b1c 2a~2c
3a~3b

5a~5b

1981

3.1;
()
24
3.2
921
1:11PSH
3.3CT
3.3.1
Y-Y LU[3]12
(16%)2(16%)1(8%)3(25%)4(33%)

3.3.24 cm[4]1
22 cm 24 cm(83%)25~6 cm
3.3.3
2

3.3.4[5]111%Chung[6]1
30% 216.7%1
(2b);1(4)PSHCTPSH

3.3.5Im[7]PSH37.5%Cheung[8]50%
1PSH
3.3.6(air meniscus sign)
(1)
[9](2) [9](3)
[10-11](4)[12]PSH
1(1)PSH

3.3.7(ground-glass opacities)Yoshida[13]
1(1)PSH

3.3.8Ikuko Sakamoto[14]

1
PSH
3.3.9
Chung[6]PSH57 s40%60%5 min

[15]CT
3 cm3 cm

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PSHPSH
1
PSH
CT
3.3.10(vascular notch symptom)PSHPSH
PSH
[16]2(2c3b)PSH
3.3.11Devouassoux-Shishebora[17]
[5]4511[18]101

3.41224
1221
;PSHPSH
3.4.1

3.4.2

PSH
3.4.3
PSH
3.4.4

3.4.5

CT

CT

[1]Liebow AAHubbell DS.Sclerosing hemangioma(histiocytomaxanthoma) of the lung[J].Cancer

19569(1)53.
[2]Spencen HNambu S.Sclerosing haemangiomas of the lung[J].Histopathology198610(5)477487.
[3]LU YYNg SHCheung YCet al.Case reportConcomitant pulmonary and mediastinal sclerosing
haemangiomas[J].Br J Radiol,200477(917)438440.
[4].2[J].199529(6)42.
[5].[J].200438(9)
962-966.
[6]Chung MJLee KSHan Jet al.Pulmonary sclerosing hemangioma presenting as solitary pulmonary
noduledynamic CT findings and histopathologic comparisons[J].Am J Roentgenol2006187(2)430-437.
[7]Im JGKim WHHan MCet al.Sclerosing hemangiomas of the lung and interlobar fissuresCT
findings[J].J Comput Assist Tomogr199418(1)34-38.
[8]Cheung YCNg SHChang JWet al.Histopathological and CT features of pulmonary sclerosing
haemangiomas[J].Clin Radiol200358(8)630-635.
[9]Bahk YWShinn KSChoi BS.The air meniscus sign in sclerosing hemangioma of the
lung[J].Radiology1978128(1)27-29.

12129

CT

[10]Nam JERyu YHCho SHet al.Air-trapping zone surrounding sclerosing hemangioma of the
lung[J].J Comput Assist Tomogr200226(3)358-361.
[11]Sagara YHayashi KShiraishi Yet al. The pulmonary air meniscus sign in a case of sclerosing
hemangioma[J].Nihon Kyobu Shikkan Gakkai Zasshi199432(8)774-777.
[12]Matsuyama WHirotsu YMizoguchi Aet al.Pulmonary sclerosing hemangioma with specific CT
findings[J].Nihon Kokyuki Gakkai Zasshi199836(6)564-567.
[13]Yoshida KKurokawa KOuchi Het al.A case of pulmonary sclerosing hemangioma with groundglass opacity and emphysematous change[J].Rinsho Hoshasen199944(5)623-626.
[14]Sakamoto ITomiyama NSugita Aet al.A case of sclerosing hemangioma surrounded by
emphysematous change[J].Radiat Med200422(2)123-125.
[15].CT[J].
200423(1)53.
[16].CT20[J].
200326(1)7-9.
[17]Devouassoux-Shisheboran MHayashi TLinnoila RIet al.A clinicopathologic study of 100 cases of
pulmonary sclemsing hemangioma with immunohistochemical studies:TTF-1 is expressed in both round and
suface cells,suggesting an origin from primitive respiratory epithelium[J].Am J Surg Pathol200024(7)906916.
[18].[J].200521(9)1004-1006.

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