本文選題：肺癌 + 微浸潤(rùn)腺癌��； 參考：《臨床放射學(xué)雜志》2017年02期

【摘要】：目的探討微浸潤(rùn)性肺腺癌(MIA)的超高分辨率CT(UHRCT)表現(xiàn)及病理特征。方法經(jīng)手術(shù)病理證實(shí)的微浸潤(rùn)性肺腺癌患者53例,共57枚結(jié)節(jié),術(shù)前行UHRCT掃描,觀察病灶的CT表現(xiàn)并與病理學(xué)對(duì)照分析。結(jié)果 49例為單發(fā)MIA結(jié)節(jié),4例為兩枚MIA結(jié)節(jié);純磨玻璃結(jié)節(jié)30枚,混合磨玻璃結(jié)節(jié)26枚,實(shí)性結(jié)節(jié)1枚;病灶直徑(1.5±0.6)cm;類圓形/橢圓形51枚,不規(guī)則形結(jié)節(jié)6枚;瘤-肺界面征清楚52枚,分葉征19枚,空泡征10枚,細(xì)支氣管充氣征13枚,血管集束征24枚,胸膜凹陷征4枚;對(duì)MGGN量化分型,Ⅰ~Ⅱ型1枚,Ⅲ~V型25枚。結(jié)論 UHRCT表現(xiàn)為類圓形/橢圓形,PGGN或高量化MGGN,瘤-肺界限清楚,有細(xì)支氣管充氣征、空泡征及血管集束征,鄰近胸膜輕度凹陷,無淋巴結(jié)、遠(yuǎn)處轉(zhuǎn)移及胸膜侵犯,應(yīng)高度懷疑MIA。
[Abstract]:Objective to investigate the histopathological features of micro invasive lung adenocarcinoma (mia) with ultra high resolution CT. Methods Fifty-seven microinvasive lung adenocarcinoma patients (57 nodules) confirmed by surgery and pathology were examined by UHRCT before operation. Ct findings of the lesions were observed and compared with pathology. Results 49 cases were single MIA nodules (n = 4, 2 MIA nodules), 30 pure ground glass nodules, 26 mixed ground glass nodules, 1 solid nodules, 1.5 鹵0.6 cm diameter, 51 round / ellipsoid nodules and 6 irregular nodules. There were 52 clear interfacial signs, 19 lobular signs, 10 vacuole signs, 13 bronchiole inflatable signs, 24 vascular cluster signs, 4 pleural indentation signs, and 1 type 鈪，

本文編號(hào)：1793758