CAJ | 학술논문

目的：了解支气管肺类癌CT征象的病理基础，探讨CT对此病的诊断价值。方法回顾性分析34例经病理及免疫组织化学检查证实的支气管肺类癌患者，将CT表现与病理改变进行对照。结果34例患者中，病灶境界清楚，边缘光滑20例，边缘毛刺状14例；8例病灶内见钙化；32例行增强扫描的病例均显示为中等至明显强化，均匀或不均匀。病理证实20例为不典型类癌，14例为典型类癌。结论支气管肺类癌的CT表现与其病理特征一致，境界清楚、边缘光滑、钙化发生率较高、强化明显等提示本病可能。
목적：료해지기관폐유암CT정상적병리기출，탐토CT대차병적진단개치。방법회고성분석34례경병리급면역조직화학검사증실적지기관폐유암환자，장CT표현여병리개변진행대조。결과34례환자중，병조경계청초，변연광활20례，변연모자상14례；8례병조내견개화；32례행증강소묘적병례균현시위중등지명현강화，균균혹불균균。병리증실20례위불전형유암，14례위전형유암。결론지기관폐유암적CT표현여기병리특정일치，경계청초、변연광활、개화발생솔교고、강화명현등제시본병가능。
Objective To explore the pathological foundation of CT manifestations of bronchopulmonary carci-noid and to evaluate the value of CT in the diagnosis. Methods The CT images of 34 patients with bronchopul-monary carcinoid, which were confirmed pathologically, were analyzed retrospectively. The CT features of these pa-tients were compared with the corresponding pathological changes. Results Of all the patients, 20 cases were diag-nosed as atypical bronchopulmonary carcinoid pathologically while 14 cases were typical bronchopulmonary carcinoid. For CT features, 20 lesions had clear border and smooth margin, and 14 cases had speculated margin. The calcifica-tion was found in 8 lesions; thirty-two of all 34 cases underwent contrast-enhanced examination, and all had moderate to marked enhancement with or without uniformity. Conclusion The CT findings of the bronchopulmonary carcinoid were in accordance with their pathological changes. The characteristics of CT, such as clear border, smooth region, and calcification provide the possibility for bonchopulmonary carcinoid.