Diagnosis and differential diagnosis of peripheral pulmonary hamartoma through multi-slice CT / 中国医师进修杂志

ABSTRACT

Objective To investigate the characteristics of peripheral pulmonary hamartoma with multi-slice CT, in order to improve the accuracy of diagnosis of the disease. Methods The multi-slice CT manifestations in 16 peripheral pulmonary hamartoma patients who were confirmed by pathology were retrospectively analyzed. Results Most of the patients were in middle age, whose ages were 22 - 67 years old, and the average age was 43.2 years old. All the patients had solitary pulmonary nodules, with clear boundary, with 7 cases in right lung and 9 cases in left lung. Pulmonary nodules were round in 6 cases, similarity round in 7 cases and irregular shape in 3 cases, among which 1 case had shallow lobulation and 2 cases had deep lobulation. Two cases had pleural up syndrome, and 1 case had vascular convergence sign. The diameter of the lesions was 1.5 - 5.2 cm, and the average was 2.48 cm, with 1 case >5 cm. One case showed a typical popcorn calcification. There were stippled calcification in 2 cases and annular calcification in 1 case. Intralesional fat only showed in 3 cases, and both fat and calcification in 2 cases. Seven cases showed homogeneous soft tissue density, neither fat nor calcification. Enhanced scan 5 cases had no abnormal enhancement, 11 had mild enhancement of soft tissue. Conclusions Fat and calcification are the typical signs of peripheral pulmonary hamartoma. Clear boundary and no enhancement or slight enhancement is also the important diagnostic basis, and lobulation and pleural up syndrome do not exclude the possible pulmonary hamartoma.