本文選題：肺癌　切入點(diǎn)：薄壁　出處：《內(nèi)蒙古醫(yī)科大學(xué)學(xué)報(bào)》2016年01期

【摘要】：目的:分析肺內(nèi)孤立性薄壁囊腔型肺癌的螺旋CT影像特征,提高對(duì)該病的診斷水平。方法:本研究中把螺旋CT影像上表現(xiàn)為囊腔狀且其75%以上囊壁厚度小于4 mm的肺癌定義為薄壁囊腔型肺癌。回顧性分析13例經(jīng)手術(shù)或穿刺病理證實(shí)的肺內(nèi)孤立性薄壁囊腔型肺癌的螺旋CT影像資料。結(jié)果:本組13例病例中,10例呈現(xiàn)囊腔壁厚度不均,9例可見短毛刺征,7例可見壁結(jié)節(jié)形成,增強(qiáng)掃描時(shí)壁結(jié)節(jié)呈不同程度對(duì)比強(qiáng)化,7例可見胸膜凹陷/增厚等異常改變,5例呈囊內(nèi)壁不光滑及腔內(nèi)可見血管穿行,3例病灶邊緣可見分葉征;病理結(jié)果顯示其中11例為腺癌,1例為支氣管肺泡癌,1例為鱗癌。結(jié)論:肺內(nèi)孤立性薄壁囊腔型肺癌的影像學(xué)表現(xiàn)具有一定特征性,主要表現(xiàn)為囊壁厚度不均、短毛刺征、壁結(jié)節(jié)形成、胸膜改變及囊內(nèi)壁不光滑等。
[Abstract]:Objective: to analyze the spiral CT features of solitary lung cancer with thin walled cystic cavity. Methods: in this study, lung cancer with 75% or more thickness of cystic wall was defined as thin-walled cystic lung cancer on spiral CT images. A retrospective analysis of 13 cases was performed or perforated. Results: in this group of 13 cases, 10 cases showed uneven wall thickness of cystic cavity, 9 cases showed short burr sign and 7 cases showed wall nodule formation. On contrast enhancement, 7 cases showed abnormal changes such as pleural depression / thickening, 5 cases showed non-smooth inner wall of the capsule and 3 cases showed lobulation sign at the margin of the lesion. The pathological results showed that 11 cases were adenocarcinoma and 1 case was bronchoalveolar carcinoma and 1 case was squamous carcinoma. Conclusion: the imaging features of pulmonary solitary parenchyma cystic type lung cancer are characterized by uneven thickness of cystic wall and short burr sign. Mural nodule formation, pleural changes and intracystic wall unsmoothness.
【作者單位】： 內(nèi)蒙古醫(yī)科大學(xué)附屬醫(yī)院CT室;石家莊市第一醫(yī)院放射二科;
【分類號(hào)】：R734.2;R730.44
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本文編號(hào)：1667150