CAJ | 학술논문

目的：分析24例肺内孤立性肺病灶（ SPN）的发病特点、影像学表现、病理诊断、治疗及随访结果。方法：回顾性分析2007年7月-2010年12月经手术治疗的24例肺内孤立结节病灶的临床资料。结果：24例中恶性11 例（45. 8％）：肺腺癌7 例，鳞癌2 例，小细胞癌1 例，肺转移癌1 例。肺良性病变13 例（54. 2％）：肺结核球4 例，错构瘤3 例，硬化性血管瘤3 例，炎性假瘤、神经纤维瘤、肺霉菌病各1 例。结论：肺内孤立性肺病灶，病因多样，恶性约占50％，鉴别诊断上仍有一定困难。治疗上应采取积极的态度，及早手术切除，术中病理检查，恶性者以肺叶切除为主，良性者则应行局部切除包括肺楔形或病灶剔除术。
목적：분석24례폐내고립성폐병조（ SPN）적발병특점、영상학표현、병리진단、치료급수방결과。방법：회고성분석2007년7월-2010년12월경수술치료적24례폐내고립결절병조적림상자료。결과：24례중악성11 례（45. 8％）：폐선암7 례，린암2 례，소세포암1 례，폐전이암1 례。폐량성병변13 례（54. 2％）：폐결핵구4 례，착구류3 례，경화성혈관류3 례，염성가류、신경섬유류、폐매균병각1 례。결론：폐내고립성폐병조，병인다양，악성약점50％，감별진단상잉유일정곤난。치료상응채취적겁적태도，급조수술절제，술중병리검사，악성자이폐협절제위주，량성자칙응행국부절제포괄폐설형혹병조척제술。
Objective:To analyze the etiology,imaging,pathological theraputic characteristics of solitary pulmonary nodules( SPN),and follow-up outcome. Methods:The clinical data of 24 patients with SPN underwent surgical oper-ation,from July 2007,to December 2010,were retrospectively analyzed. Results:Of 24 cases,11(45. 8%)cases were malignant including adenocarcinoma in 7,squamous cell carcinoma in 2,small cell carcinoma in 1 and metastatic tumor in 1. Another 13(54. 2%)cases were benign including tuberculoma in 4,hamartoma in 3,sclerosing hemangio-ma in 3,inflammatory pseudotumor,neurofibroma and fungal disease in 1. The wedge resection and lobectomy were performed based on the intraoperative pathological findings. Conclusion:SPN is comprised of various causes. Approxi-mately 50% are malignant which leads the differential diagnosis is difficult. Surgical intervention should be actively taken.