摘要
目的:探讨细支气管腺瘤(bronchiolar adenoma,BA)的临床及计算机体层成像(computed tomography,CT)特征,以提高对该病的认识及鉴别诊断能力。方法:回顾并分析2019年7月—2021年8月于吉林大学第一医院经手术后病理学检查证实的27例BA的临床病理学及胸部CT资料。27例均行CT平扫检查,其中15例并行增强CT检查。分析整理患者基本资料、病史、临床表现、CT影像肺部病变分布位置、病变形态等特征。结果:27例患者中男性7例,女性20例,年龄31~79岁,多无临床症状(23例)。病变均位于胸膜下区,其中21例发生于双肺下叶,以类圆形边界清晰实性小结节为主(2~15 mm),6例内含空泡影,增强CT扫描实性成分轻度强化。在随访过程中部分病灶体积略增大,术后尚未发现复发及转移患者。结论:BA临床症状不典型,影像学表现为多样性,极易误诊,需提高对该病的全面认识,做好鉴别诊断。
Objective:To explore clinical and imaging characteristics of patients with bronchiolar adenoma(BA).Methods:A retrospective analysis was performed on clinical data and chest computed tomography(CT)images of 27 cases diagnosed with BA.Patients were admitted to the First Hospital of Jilin University from July 2019 to August 2021.All 27 cases underwent plain CT scan,of which 15 cases underwent enhanced CT scan.Basic clinical data,medical history,clinical manifestations,distribution and morphology of pulmonary lesions on chest CT images were analyzed.Results:Among the 27 cases,7 were males and 20 were females,aged from 31 to 79 years,and most of them were asymptomatic(23 cases).The lesions were all located in the subpleural area,of which 21 cases occurred in the lower lobes of both lungs,mainly small solid nodules with clear quasi circular boundary,2-15 mm in size,6 cases contained bubble-like lucencies,and the solid components were slightly enhanced on contrast-enhanced CT scan.During the follow-up,the volume of some lesions increased slightly,and no recurrence and metastasis were found after operation.Conclusion:The clinical symptoms of BA are nonspecific and the imaging manifestations are diverse,so it is easy to be misdiagnosed.It is necessary to improve the comprehensive understanding of the disease and do a good job in differential diagnosis.
作者
姜星原
邵志清
柴亚婷
刘媖楠
李叶
JIANG Xingyuan;SHAO Zhiqing;CHAI Yating;LIU Yingnan;LI Ye(Department of Radiology,The First Hospital of Jilin University,Changchun 130000,Jilin Province,China)
出处
《肿瘤影像学》
2022年第5期554-560,共7页
Oncoradiology
