期刊文献+

肺炎型肺癌的CT表现与病理特征 被引量:39

CT Manifestations and Pathological Features of Pneumonia-type Lung Cancer
下载PDF
导出
摘要 目的探讨肺炎型肺癌的CT表现及病理特征,提高对肺炎型肺癌的诊断水平。资料与方法回顾性分析33例经活检及手术病理证实的肺炎型肺癌患者的CT特点及病理表现,并参照肺腺癌新分类指南进行分类。结果 33例肺炎型肺癌中,CT示22例两肺多发分布,9例单叶分布,2例肺段分布。所有病例均有肺实变,21例以肺下叶实变为主,32例实变内充气支气管征,其中24例充气支气管狭窄;23例实变肺伴多发结节影;26例实变周围或远侧磨玻璃征;13例合并囊腔及蜂窝肺征。增强后18例实变肺未见明显强化,15例不均匀强化;21例实变影内可见分支走行的血管影。病理显示浸润性黏液腺癌26例,浸润性黏液腺癌混合部分乳头状或腺泡状腺癌7例。结论肺炎型肺癌呈单发或多发实变影,其内见充气支气管征,伴多发结节、磨玻璃影,可合并囊腔及蜂窝征,病灶逐渐增大、增多并向两肺播散,结合其动态变化特点,有助于提高诊断准确率。 Purpose To explore the CT manifestations and pathological features of pneumonia-type lung cancer, and to improve the diagnosis capability of pneumonia-type lung cancer. Materials and Methods CT and pathologic features of 33 cases of biopsy or surgical pathology confirmed pneumonia-type lung cancer patients were retrospectively analyzed and classified according to the new pulmonary adenocarcinoma classification. Results Among the 33 pneumonia-type lung cancer subjects, CT showed multiple distributions within both lungs in 22 cases, lateral lobe distribution in 9 cases, segmental distribution in 2 cases. Lung consolidation was lbund in all lesions, among them 21 cases appeared mainly as lower lobe consolidation, 32 cases as inflatable bronchial symptoms within the consolidation, including inflatable bronchoconstriction in 24 cases: consolidation with multiple puhnonary nodules found in 23 cases: ground glass shadowing around or distal to the consolidation tbund in 26 cases: combined with cysts or honeycomb lung symptom in 13 cases, lnhomogeneous mild enhancement of lung consolidation after enhancement tbund in 18 cases and inhomogeneous moderate enhancement in 15 cases: blood vessel branch shadow within the consolidation was visible in 21 cases. Pathology results revealed 26 cases of invasive mucinous adenocarcinoma, and 7 cases of invasive mucinous adenocarcinoma partial mixed with papillary or alveolar adenocarcinoma. Conclusion CT features of pneumonia-type lung cancer are single or multiple opacities, within which inflatable bronchial symptoms can be observed, with multiple nodules and ground glass shadowing, cysts or honeycomb symptom can also be found concomitant, the lesions expand, increase and spread to both lungs, taking its dynamic change features into consideration will also help to improve the diagnostic accuracy.
出处 《中国医学影像学杂志》 CSCD 北大核心 2013年第12期911-914,共4页 Chinese Journal of Medical Imaging
关键词 肺肿瘤 肺炎 体层摄影术 螺旋计算机 病理学 外科 Lung neoplasms Pneumonia Tornography, spiral computed Pathology, surgical
  • 相关文献

参考文献11

  • 1骆宝建,吕平欣,周新华,潘纪戍.46例炎症型肺癌CT影像分析[J].中华肿瘤杂志,2007,29(11):860-863. 被引量:27
  • 2Travis WD,Brambilla E,Noguchi M. International association for the study of lung cancer/American thoracic society/European respiratory society:international multidisciplinary classification of lung adenocarcinoma:executive summary[J].{H}PROCEEDINGS OF THE AMERICAN THORACIC SOCIETY(PATS),2011,(05):381-385.
  • 3Travis WD,Garg K,Franklin WA. Evolving concepts in the pathology and computed tomography imaging of lung adenocarcinoma and bronchioloalveolar carcinoma[J].{H}Journal of Clinical Oncology,2005,(14):3279-3287.
  • 4张蕴,杜红文,付和睦,郭佑民,刘继汉.细支气管肺泡癌的X线CT诊断[J].中国医学影像学杂志,2001,9(4):252-254. 被引量:4
  • 5Zwirewich CV,Miller RR,Müller NL. Multicentric adenocarcinoma of the lung:CT-pathologic correlation[J].{H}RADIOLOGY,1990,(01):185-190.
  • 6Jung JI,Kim H,Park SH. CT differentiation of pneumonic-type bronchioloalveolar cell carcinoma and infectious pneumonia[J].{H}British Journal of Radiology,2001,(882):490-494.
  • 7Austin JH,Garg K,Aberle D. Radiologic implications of the 2011 classification of adenocarcinoma of the lung[J].{H}RADIOLOGY,2013,(01):62-71.
  • 8Akira M,Atagi S,Kawahara M. High-resolution CT findings of diffuse bronchioloalveolar carcinoma in 38 patients[J].{H}AMERICAN JOURNAL OF ROENTGENOLOGY,1999,(06):1623-1629.
  • 9Patsios D,Roberts HC,Paul NS. Pictorial review of the many faces of bronchioloalveolar cell carcinoma[J].{H}British Journal of Radiology,2007,(960):1015-1023.
  • 10Weisbrod GL,Towers MJ,Chamberlain DW. Thin-walled cystic lesions in bronchioalveolar carcinoma[J].{H}RADIOLOGY,1992,(02):401-405.

二级参考文献20

  • 1李至,蔡祖龙.弥漫型细支气管肺泡癌的CT诊断:附15例分析[J].中华放射学杂志,1993,27(6):373-375. 被引量:29
  • 2蔡祖龙,曹丹庆,郭晓东.孤立型细支气管肺泡癌的CT诊断(附38例分析)[J].中华放射学杂志,1994,28(1):20-23. 被引量:55
  • 3彭光明,蔡祖龙,祝庆孚.空泡征的CT-病理再研究[J].中华放射学杂志,1996,30(6):392-395. 被引量:69
  • 4Jung JI, Kim H, Park SH, et al. CT differentiation of pneumonictype bronchioloalveolar cell carcinoma and infection pneumonia. Br J Radiol, 2001,74:490-494.
  • 5Akata S, Fukushima A, Kakizaki D, et al. CT scanning of bronchioloalveolar carcinoma: specific appearances. Lung Cancer, 1995, 12 : 221-230.
  • 6Aquino SL, Chiles C, Halford P. Distinction of consolidative bronchioloalveolar carcinoma from pneumonia: do CT criteria work? AJR Am J Roentqenol, 1998, 171:359-363.
  • 7Akira M, Atagi S, Kawahara M, et al. High-resolution CT findings of diffuse bronchioloveolar carcinoma in 38 patients. A JR Am J Roentqenol, 1999, 173: 1623-1629.
  • 8Im JG Han MC, Yu EJ, et al. Lobar bronchioloveolar carcinoma: "angiogram sign" on CT scans. Radiology, 1990, 176:749-753.
  • 9Tateishi U, Muller NL, Johkoh T, et al. Mucin-producing adenocarcinoma of the lung: thin-section computed tomography findings in 48 patients and their effect on prognosis. Comput Assist Tomogr, 2005, 29:361-368.
  • 10Travis WD, Garg K, Franklin WA, et al. Evolving concepts in the pathology and computed tomography imaging of lung adenocarcinoma and bronchioloveolar carcinoma. J Clin Oncol, 2005.23:3279-3287.

共引文献108

同被引文献212

引证文献39

二级引证文献148

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部