CAJ | 학술논문

目的探讨肺炎型肺癌的CT影像学特点及与病理学对照.方法回顾性分析33例经活检及手术等病理证实的肺炎型肺癌患者的临床、病理及影像学齐全的资料,总结其影像学特征,并与病理类型对照,探讨其在影像学诊断中的应用价值.结果 33例肺炎型肺癌中细支气管肺泡癌23例,腺癌10例.其中单发肺叶实变21例(63.6%),单发肺段实变6例(18.1%),多发肺叶实变6例(18.1%);实变肺伴血管造影征21例(63.6%),支气管气像征27例(81.8%),伴枯树枝征18例(54.5%);实变肺周见蜂窝肺征27例(81.8%),磨玻璃征21例(63.6%),多发小结节6例(18.1%);少量胸水3例(9.1%),肺门淋巴结肿大3例(9.1%).病理证实细支气管肺泡癌17例,腺癌9例,腺鳞癌3例,小细胞癌1例.结论肺炎型肺癌的影像学形态可为多种多样,但其动态影像学表现具有一定特征性,确诊需要病理检查.
목적 탐토폐염형폐암적CT영상학특점급여병이학대조.방법 회고성분석33례경활검급수술등병리증실적폐염형폐암환자적림상、병리급영상학제전적자료,총결기영상학특정,병여병리류형대조,탐토기재영상학진단중적응용개치.결과 33례폐염형폐암중세지기관폐포암23례,선암10례.기중단발폐협실변21례(63.6%),단발폐단실변6례(18.1%),다발폐협실변6례(18.1%);실변폐반혈관조영정21례(63.6%),지기관기상정27례(81.8%),반고수지정18례(54.5%);실변폐주견봉와폐정27례(81.8%),마파리정21례(63.6%),다발소결절6례(18.1%);소량흉수3례(9.1%),폐문림파결종대3례(9.1%).병리증실세지기관폐포암17례,선암9례,선린암3례,소세포암1례.결론 폐염형폐암적영상학형태가위다충다양,단기동태영상학표현구유일정특정성,학진수요병리검사.
Objective To study the image features and pathologic basis of pneumonia type carcinoma of lung(PTCL). Methods The clinical,pathological and serial imaging materials of 30 cases of PTCL proved by pathology were retrospectively analyzed. The image features of PTCL were summarized. Results The pathological types of PTCL included bronchioalveolar carcinoma in 21 cases and adenocarcinoma in 9 cases. The main CT findings of PTCL in 33 cases were consolidation,included single lobar or segmental consolidation (n＝27,81.8%),multilobar consolidation (n＝6,18.1%). With in consolidation demonstrated lower density with angiogram sign (n＝21,63.6%),and air bronchogram(n＝27,81.8%) with leafless tree sign (n＝18,54.5%);Outside of consolidation showed honeycomb sign (n＝27,81.8%),ground glass shadow (n＝21,63.6%),multinodules (n＝6,18.1%).The other findings included little pleural effusion (n＝3,9.1%),enlarged mediastinal lymph node (n＝3,9.1%). Conclusions The imaging features of PTCL are varied, but the imaging dynamic changes of PTCL are of relative characteristic.