|本期目录/Table of Contents|

[1]罗洪建,李仕广,杨 伟,等.含薄壁囊腔周围型肺癌的MSCT影像特征及病理分析[J].遵义医科大学学报,2019,42(05):587-589.
 Luo Hongjian,Li Shiguang,Yan Wei,et al.Multi-slice CT features and pathological analysis of peripheral lung cancer associated with thin-walled airspace[J].Journal of Zunyi Medical University,2019,42(05):587-589.
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含薄壁囊腔周围型肺癌的MSCT影像特征及病理分析()
     
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《遵义医科大学学报》[ISSN:1000-9035/CN:22-1262/O4]

卷:
第42卷
期数:
2019年05期
页码:
587-589
栏目:
临床经验交流
出版日期:
2019-10-25

文章信息/Info

Title:
Multi-slice CT features and pathological analysis of peripheral lung cancer associated with thin-walled airspace
文章编号:
1000-2715(2019)05-0587-03
作者:
罗洪建1李仕广1杨 伟1江 林1邓 飞2
(1.遵义医科大学第三附属医院 影像科,贵州 遵义 563002; 2.遵义医科大学第三附属医院 病理科,贵州 遵义 563002)
Author(s):
Luo Hongjian1 Li Shiguang1Yan Wei1 Jiang Lin1 Deng Fei2
(1.Department of Imaging, The Third Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou 563002, China; 2.Department of Pathology, The Third Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou 563002, China)
关键词:
肺肿瘤 诊断 体层摄影术 X线计算机
Keywords:
lung neoplasms diagnosis tomography x-ray computed
分类号:
R825.6
DOI:
-
文献标志码:
B
摘要:
目的 分析诊断为含薄壁囊腔周围型肺癌的CT影像表现,提高对此类疾病的认识及诊断准确率。方法 回顾性分析16例经病理证实的含薄壁囊腔周围型肺癌的CT征象,总结含薄壁囊腔周围型肺癌的CT表现特点。结果 本组16例患者中,15例为腺癌,1例为腺鳞癌; 其中病变位于肺上叶11例,肺下叶4例; 右肺中叶1例; 10例为多发囊腔,6例为单发囊腔; 囊腔形态呈圆形或类圆形14例,不规则形2例; 12例囊腔内有分隔,4例囊腔内无分隔; 12例有分叶、毛刺、胸膜凹陷征,4例无分叶、毛刺、胸膜凹陷征; 7例囊腔周围伴有磨玻璃密度影,9例囊腔周围伴实性结节。结论 含薄壁囊腔周围型肺癌的CT表现有一定特征性,综合分析囊腔的形态及周围征象,有利于提高诊断准确率。
Abstract:
Objective To analyze the CT manifestations of parenchymal peripheral type lung cancer and improve the recognition and early diagnosis rate of this disease. Methods CT findings of 16 cases with parenchymal lung cancer confirmed by pathology were retrospectively analyzed. To summarize the CT features of parenchymal periluminal lung cancer. Results Pathology confirmed that 15 cases were adenocarcinoma. One case was adenosquamous carcinoma. The lesions were located in the upper lobe in 11 cases and the lower lobe in 4 cases. Middle lobe of right lung in 1 case was shown. There were 10 cases with multiple cysts, while 6 cases were single hair cysts. The shape of the cysts was round/almost round in 14 cases and irregular in 2 cases. In 12 cases, there was space within the cystic cavity. In 4 cases, there was no space within the cystic cavity. There were leaf, burr and pleural depression in 12 cases, and no leaf, burr and pleural depression in 4 cases. Density shadow of ground glass was observed around the cysts in 7 patients, and solid nodules were observed around the cysts in 9 patients. Conclusion CT findings of peripheral lung cancer associated with thin-walled airspace have certain characteristics. The comprehensive analysis of cystic morphology and peripheral signs is helpful to improve the diagnostic rate.

参考文献/References:

[1] 郭俊唐,梁朝阳,初向阳, 等.薄壁空洞性肺癌:24例病例分析及文献回顾[J].中国肺癌杂志,2014,17(7):553-556. [2] 张丽, 孙巍, 吴宁, 等. 囊腔样肺腺癌的影像学特征与组织病理学特征的对照研究[J].中华肿瘤杂志,2014,36(5):355-361. [3] Mascalchi M, Attinà D,Bertelli E,et al. Lung cancer associated with cystic airspaces[J].Journal of Computer Assisted Tomography, 2015, 39(1):102-108. [4] 孙筱倩,直强,吴重重.以含囊腔为主的周围型肺癌的CT特征分析[J].临床放射学杂志,2016,35(3):363-367. [5] Farooqi A O,Matt C,Lijuan Z,et al. Lung cancer associated with cystic airspaces[J].AJR, 2012,199(4):781-786. [6] 吴光耀,伍建林.肺部囊腔类肺癌的分型及其CT表现[J].放射学实践,2016,31(10):902-907. [7] 谭洋,伍建林.囊腔类肺癌病理学基础与CT表现特点[J].中国医学影像技术,2018,34(11):1728-1731. [8] 望云,刘士远,范丽,等.含薄壁囊腔周围型肺癌的CT特征及病理基础分析[J].中华放射学杂志,2017,51(2):96-101. [9] 望云,范丽,李清楚, 等.薄壁囊腔型肺癌与薄壁空洞性肺结核的MDCT表现鉴别诊断研究[J].临床放射学杂志,2017,36(1):44-49. [10]望云,范丽,刘士远, 等.含囊腔的周围型肺癌的 MDCT 特征分析[J].实用放射学杂志,2016,32(4):522-526. [11]望云.含囊腔的周围型肺癌影像学与病理学研究进展[J].临床放射学杂志,2016,35(3):486-489. [12]于晶, 王亮, 伍建林, 等. 周围型肺癌伴薄壁空腔的CT表现与征象分析[J]. 中华放射学杂志,2015,49(2):99-102.

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备注/Memo

备注/Memo:
[基金项目]遵义市科学技术局基金资助项目(NO:遵市科合社字[2015]16,遵市科合社字[2016]20)。 [通信作者]李仕广,男,博士,教授,硕士生导师,研究方向:神经影像,E-mail:chunqianli@qq.com。
更新日期/Last Update: 2019-10-25