中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
6期
115-117,118
,共4页
肺肿瘤%肺炎%体层摄影术,X射线计算机%病理学%外科
肺腫瘤%肺炎%體層攝影術,X射線計算機%病理學%外科
폐종류%폐염%체층섭영술,X사선계산궤%병이학%외과
Lung neoplasms%Pneumonia%Tomography,X-ray computed%Pathology%Surgical
目的：探讨肺炎型肺癌(PTCL)的多层螺旋CT(MSCT)征象及病理分型，以期提高对该病的诊断水平。方法：参照肺腺癌的国际多学科分类标准，回顾性分析经手术病理或活检证实的23例PTCL患者的临床资料，探讨其CT特征及病理分型。结果：在PTCL患者病例中，12例出现肺叶肺段实变影，为大片状或弥漫性分布的密度增高影，其中7例病灶内显示不规则蜂窝及空泡影。5例出现空气支气管征，支气管僵硬、狭窄者3例，管腔粗细不均伴迂曲者2例，呈枯枝状改变。7例为磨玻璃结节影，其中4例为混合磨玻璃结节，周围伴结节状卫星灶。3例出现肿块、纤维化及实变为主的混合影。3例以纯磨玻璃结节及纤维化为主。术后病理或活检显示，腺癌13例，细支气管肺泡癌5例，鳞癌4例，乳头状腺癌1例。结论：MSCT可发现PTCL影像学特征，动态观察有助于提高诊断准确率。
目的：探討肺炎型肺癌(PTCL)的多層螺鏇CT(MSCT)徵象及病理分型，以期提高對該病的診斷水平。方法：參照肺腺癌的國際多學科分類標準，迴顧性分析經手術病理或活檢證實的23例PTCL患者的臨床資料，探討其CT特徵及病理分型。結果：在PTCL患者病例中，12例齣現肺葉肺段實變影，為大片狀或瀰漫性分佈的密度增高影，其中7例病竈內顯示不規則蜂窩及空泡影。5例齣現空氣支氣管徵，支氣管僵硬、狹窄者3例，管腔粗細不均伴迂麯者2例，呈枯枝狀改變。7例為磨玻璃結節影，其中4例為混閤磨玻璃結節，週圍伴結節狀衛星竈。3例齣現腫塊、纖維化及實變為主的混閤影。3例以純磨玻璃結節及纖維化為主。術後病理或活檢顯示，腺癌13例，細支氣管肺泡癌5例，鱗癌4例，乳頭狀腺癌1例。結論：MSCT可髮現PTCL影像學特徵，動態觀察有助于提高診斷準確率。
목적：탐토폐염형폐암(PTCL)적다층라선CT(MSCT)정상급병리분형，이기제고대해병적진단수평。방법：삼조폐선암적국제다학과분류표준，회고성분석경수술병리혹활검증실적23례PTCL환자적림상자료，탐토기CT특정급병리분형。결과：재PTCL환자병례중，12례출현폐협폐단실변영，위대편상혹미만성분포적밀도증고영，기중7례병조내현시불규칙봉와급공포영。5례출현공기지기관정，지기관강경、협착자3례，관강조세불균반우곡자2례，정고지상개변。7례위마파리결절영，기중4례위혼합마파리결절，주위반결절상위성조。3례출현종괴、섬유화급실변위주적혼합영。3례이순마파리결절급섬유화위주。술후병리혹활검현시，선암13례，세지기관폐포암5례，린암4례，유두상선암1례。결론：MSCT가발현PTCL영상학특정，동태관찰유조우제고진단준학솔。
Objective:To explore the CT manifestations and pathological features of pneumonia-type lung cancer, and to improve the diagnosis capability of pneumonia-type lung cancer. Methods:CT and pathologic features of 23 cases ofsurgical pathology or biopsy confirmed pneumonia-type lung cancer patients were retrospectively analyzed and classified according to the new pulmonary adenocarcinoma classification. Results:Among the 23 pneumonia-type lung cancer subjects, CT showed 12 cases with lung pulmonary consolidation shadows, for sheets or diffuse distribution of density increase, combined with cysts or honeycomb lung symptom in 7 cases. 5 cases as inflatable bronchial symptoms within the consolidation, 3 cases bronchial stiffness, narrowed lumen to uneven thickness of 2 case, combine with circuity twigs with change.7 cases of nodular for grinding glass, including 4 cases of mixed ground glass nodules, around with focal nodular. 3 case of the lumps, fibrosis and consolidation of mixed picture. 3 case of pure grinding glass nodules and fibrosis. Results:Pathology results revealed 13 cases of adenocarcinoma, bronchioloalveolar carcinoma in 5 cases, 4 cases were squamous carcinoma, papillary adenocarcinoma in 1 case. Conclusion: CT features of pneumonia-type lung cancer are single or multiple opacities, within which inflatable bronchial symptoms can be observed, with multiple nodules andground glass shadowing, cysts or honeycomb symptom can also be found concomitant, thelesions expand, increase and spread to both lungs, taking its dynamic change features intoconsideration will also help to improve the diagnostic accuracy.
