CT findings and clinical diagnosis of extragonadal seminoma / 实用放射学杂志

Objective To investigate the CT imaging findings and diagnostic methods of extragonadal seminoma.Methods The CT imaging findings and the causes of misdiagnosis in 6 cases of extragonadal seminoma before and after CT-guided biopsy were analyzed retrospectively in this study.Results One case of seminoma was found in the right supraclavicular region,mediastinuml,retroperitoneal cavity and retroperitoneal-retroperitoneal cavity,respectively.Two cases located in the pelvic-abdominal cavity.Lesions were substantially isodensity soft tissue masseswith creeping growth,clear boundary,mild to moderate enhancement and peripheral blood vessels embedded in the tumor.All the cases performed CT-guided biopsy.The diagnoses before and after puncture were inconsistent,so the misdiagnosis rate was 100%. Conclusion Extragonadal seminoma occurs randomly in the different location and imaging features are lack of specificity,therefore, it is difficult to diagnose qualitatively.CT-guided biopsy is the most effective clinical method of the diagnosis of extragonadal seminoma.

CT-guided Needle Aspiration Biopsy in Segmental Bronchial Lesions of Central Lung Cancer / 中国医学影像学杂志

PurposeTo investigate CT-guided needle aspiration biopsy in segmental bronchial lesions of central lung cancer., and to provide basis for developing therapeutic schedule.Materials and Methods Fifty-five cases of suspected central lung cancer with segmental bronchial lesions were selected. All patients underwent CT-guided needle aspiration biopsy. The puncture complications and the effect of different position and direction of the puncture needle on complications were observed.Results All 55 patients were punctured successfully in one time. Satisfactory biopsy specimens were collected in all patients. Pathological diagnosis rate was 90.91% (50/55). Operative pathology or post-puncture follow-up confirmed the central lung cancer with segmental bronchial lesions in 40 cases with positive rate of 72.73% (40/55), and the negative rate was 18.18% (10/55). As for puncture complications, the needle tract bleeding was seen in 19 cases (34.55%), and some pneumothorax in 4 cases (7.27%). There was statistic difference between the two complications (χ2=6.03,P0.05). Incidence of complications decreased with performance angle by the order of vertical puncture, horizontal puncture, and 45 degrees puncture. There was statistic difference (χ2=3.68,P<0.05).Conclusion CT-guided percutaneous needle aspiration biopsy is accurate in diagnosis of central lung cancer with segmental bronchial lesions. It has no serious complication and is worthy of general clinical application.

Focal Nodular Hyperplasia and Hepatic Adenomas: Differential Diagnosis with Multiphasic Helical CT / 实用放射学杂志

Objective To study the methods of differential diagnosis of focal nodular hyperplasia and hepatic adenoma using multiphasic helical CT.Methods The data triphase helical CT of focal nodular hyperplasia (FNH) in 7 cases and hepatic adenomas in 5 cases proved pathologically were aualysed.The number,morphology,size,central scars and calcifications of lesions were observed,and the CT values of lesions and liver parenchyma on plain scan,arterial phase and portal venous phase were measured respectively.Results In 7 cases of FNH , mulitple lesions were present in one case , single lesion was in other 6 cases , totally 10 lesions in which six lesions were larger than 3 cm and four of the other were smaller than 3 cm in diameter , the central scars were detected in 7 cases . Five cases of hepatic adenoma were single and larger than 3 cm in diameter, no central scars were detected . Both focal nodular hyperplasia and hepatic adenoma no calicification could be seen . The study showed no significant difference between mean density values of focal nodular hyperplasia ( 48.18?7.82 ) HU and hepatic adenoma ( 42.54?2.37 ) HU on plain scan . In aterial phase , CT values were significant higher in focal nodular hyperplasia(124.29?18.69) HU than that in hepatic adenoma(83.29?9.09) HU.In the portal venous phase,no significant difference in values were detected between focal nodular hyperplasia(110.51?22.71) HU and hepatic adenoma(123.75?5.01) HU.Conclusion The differential diagnosis of focal nodular hyperplasia and hepatic adenoma can be done by multiphasic helical CT in combination with the quantitative evaluation of the density of liver lesions.