CAJ | 학술논문

目的：研究纵隔型肺癌的CT影像特点，提高纵隔型肺癌诊断的正确率。方法回顾性分析了从2011年9月至2014年2月期间我院经支气管镜或手术病理证实的29例纵隔型肺癌的影像学特征。结果29例纵隔型肺癌患者中，中心性肺癌14例，周围型肺癌11例，隐匿性肺癌4例。左上肺11例，左下肺2例，右上肺13例，右下肺3例。CT表现为大小不等，形态不规则的软组织肿块影，CT表现为大小不等，形态不规则的软组织肿块影，其中病灶中央坏死15例，不规则钙化5例；7例患者有肺不张，肺门淋巴结肿大者8例，纵隔淋巴结肿大者11例，淋巴结坏死者5例。结论在纵隔型肺癌在CT表现上具有一定特点，可与纵隔肿瘤进行鉴别。
목적：연구종격형폐암적CT영상특점，제고종격형폐암진단적정학솔。방법회고성분석료종2011년9월지2014년2월기간아원경지기관경혹수술병리증실적29례종격형폐암적영상학특정。결과29례종격형폐암환자중，중심성폐암14례，주위형폐암11례，은닉성폐암4례。좌상폐11례，좌하폐2례，우상폐13례，우하폐3례。CT표현위대소불등，형태불규칙적연조직종괴영，CT표현위대소불등，형태불규칙적연조직종괴영，기중병조중앙배사15례，불규칙개화5례；7례환자유폐불장，폐문림파결종대자8례，종격림파결종대자11례，림파결배사자5례。결론재종격형폐암재CT표현상구유일정특점，가여종격종류진행감별。
Objective?To?improve?the?feasibility?of?CT?diagnosis?of?mediastinal?type?lung?cancer.?Methods?29?patients?with?mediastinal?type?lung?cancer?proved?by?pathology?were?analyzed?retrospectively.?Results The mediastinal type lung cancer can be classiifed as central (14 cases), peripheral type (11 cases)?and?hiding?type?(4?cases).?There?were?13?cases?in?the?right?upper?lung(11?cases?in?the?upper?lobe?and?2?cases?in?the?lower?lobe)?and?16?cases?in?the?right?lung(13?in?the?upper?lobe?and?3?in?the?lower?lobe).?CT?showed?irregular?soft?tissue?masses?adjacent?mediastinum?with?size?of?2.5-11?cm.?17cases?showed?homogeneous?density?and?12?cases?showed?heterogeneous?density.?The?tumor?and?lung?tissue?interface?was?blurred?in?21?cases?and?clear?in?8?cases.?11?cases?had?atelectasis.?13?cases?showed?mediastinal?lymph?nodes?enlargement.?Conclusion The mediastinal type lung cancer has relatively speciifc clinical and CT manifestations;?it?can?help?to?differential?diagnosis?with?mediastinal?tumors?.