本文選題：神經內分泌癌 + 大細胞癌　； 參考：《放射學實踐》2015年04期

【摘要】：目的:探討多層螺旋CT(MSCT)在診斷肺大細胞神經內分泌癌(LCNEC)中的價值。方法:回顧性分析經病理證實的19例LCNEC患者的臨床和CT資料。結果:19例LCNEC中,6例為中央型,13例為周圍型;病灶呈類圓形或不規(guī)則形,邊緣可見分葉狀13例、毛刺5例;病灶直徑3~7cm,平均(4.60±1.99)cm;可見壞死7例,出血2例,鈣化1例;胸膜凹陷征3例,阻塞性肺炎及阻塞性肺不張2例,胸腔積液4例,肺門淋巴結或縱隔淋巴結腫大9例,伴遠處轉移7例。結論:LCNEC的CT表現(xiàn)無明顯特征性,最終確診需結合臨床和病理檢查。
[Abstract]:Objective: to evaluate the value of multilayer spiral CTT (MSCT) in diagnosis of large cell neuroendocrine carcinoma of lung (LCNECs). Methods: the clinical and CT data of 19 patients with LCNEC confirmed by pathology were retrospectively analyzed. Results among 19 cases of LCNEC, 6 cases were central type, 13 cases were peripheral type, 13 cases were round or irregular, 13 cases had lobular shape and 5 cases had burr, the diameter of lesions was 3 ~ 7 cm (mean 4.60 鹵1.99 cm), 7 cases were necrotic, 2 cases were hemorrhage, 1 case was calcification. Pleural indentation in 3 cases, obstructive pneumonia and obstructive atelectasis in 2 cases, pleural effusion in 4 cases, hilar lymph node or mediastinal lymph node enlargement in 9 cases, distant metastasis in 7 cases. Conclusion there is no obvious characteristic in the CT findings of% LCNEC, and the final diagnosis should be combined with clinical and pathological examination.
【作者單位】： 廣西壯族自治區(qū)南溪山醫(yī)院放射科;
【分類號】：R734.2;R730.44

【參考文獻】

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本文編號：1950708