From the Department of Radiology, Mayo Clinic, Scottsdale, AZ.
Clin Nucl Med. 2014 Jan;39(1):e114-6. doi: 10.1097/RLU.0b013e318281657b.
Intraluminal masses of the azygos vein are of rare occurrence. The differential diagnosis includes bland thrombus, tumor thrombus, epithelioid hemangioendothelioma, and leiomyosarcoma. To this list, the authors add an uncommon case of intravenous lobular capillary hemangioma, also known as intravenous pyogenic granuloma, of the azygos vein, inducing a recurrent large right pleural effusion. CT, MR, and PET/CT features of this lesion are presented.
腔静脉内的肿块很少见。鉴别诊断包括良性血栓、肿瘤血栓、上皮样血管内皮细胞瘤和平滑肌肉瘤。作者在此基础上增加了一例罕见的腔静脉静脉内叶状毛细血管瘤的病例,也称为化脓性静脉内肉芽肿,导致反复出现大量右侧胸腔积液。本文介绍了该病变的 CT、MR 和 PET/CT 特征。