放射学实践
放射學實踐
방사학실천
Radiologic Practice
2015年
9期
909-912
,共4页
史东立%赵大伟%陈枫%齐石%李云芳%贾翠宁%李宏军
史東立%趙大偉%陳楓%齊石%李雲芳%賈翠寧%李宏軍
사동립%조대위%진풍%제석%리운방%가취저%리굉군
获得性免疫缺陷综合征%肺肿瘤%体层摄影术,X 线计算机
穫得性免疫缺陷綜閤徵%肺腫瘤%體層攝影術,X 線計算機
획득성면역결함종합정%폐종류%체층섭영술,X 선계산궤
Acquired immunodeficiency syndrome%Lung neoplasms%Tomography,X-ray computed
目的：探讨艾滋病相关肺部恶性肿瘤的 CT 表现特征。方法：回顾性分析8例艾滋病合并肺部恶性肿瘤患者的 CT 表现。结果：4例卡波西肉瘤中3例表现为支气管血管束增粗、小叶间隔增厚，多个沿支气管血管束分布的结节、纵隔、腋窝或肺门淋巴结肿大，双侧胸腔积液，1例主要表现为结节；1例淋巴瘤为单发肿块，病灶内可见坏死及空气支气管征，增强扫描呈轻度不均匀强化；3例肺癌均为明显强化的孤立肿块，腺癌为形态不规则的外周型肿块伴肺内转移，鳞癌和小细胞癌为中央型肿块，前者可见阻塞性肺炎、肺不张及病灶侧肺门淋巴结肿大，后者纵隔及病灶侧肺门淋巴结显著肿大，3例病灶侧均可见胸腔积液。结论：艾滋病合并肺内恶性肿瘤的 CT 表现具有一定特征性，CT 检查对其诊断及鉴别诊断具有重要价值。
目的：探討艾滋病相關肺部噁性腫瘤的 CT 錶現特徵。方法：迴顧性分析8例艾滋病閤併肺部噁性腫瘤患者的 CT 錶現。結果：4例卡波西肉瘤中3例錶現為支氣管血管束增粗、小葉間隔增厚，多箇沿支氣管血管束分佈的結節、縱隔、腋窩或肺門淋巴結腫大，雙側胸腔積液，1例主要錶現為結節；1例淋巴瘤為單髮腫塊，病竈內可見壞死及空氣支氣管徵，增彊掃描呈輕度不均勻彊化；3例肺癌均為明顯彊化的孤立腫塊，腺癌為形態不規則的外週型腫塊伴肺內轉移，鱗癌和小細胞癌為中央型腫塊，前者可見阻塞性肺炎、肺不張及病竈側肺門淋巴結腫大，後者縱隔及病竈側肺門淋巴結顯著腫大，3例病竈側均可見胸腔積液。結論：艾滋病閤併肺內噁性腫瘤的 CT 錶現具有一定特徵性，CT 檢查對其診斷及鑒彆診斷具有重要價值。
목적：탐토애자병상관폐부악성종류적 CT 표현특정。방법：회고성분석8례애자병합병폐부악성종류환자적 CT 표현。결과：4례잡파서육류중3례표현위지기관혈관속증조、소협간격증후，다개연지기관혈관속분포적결절、종격、액와혹폐문림파결종대，쌍측흉강적액，1례주요표현위결절；1례림파류위단발종괴，병조내가견배사급공기지기관정，증강소묘정경도불균균강화；3례폐암균위명현강화적고립종괴，선암위형태불규칙적외주형종괴반폐내전이，린암화소세포암위중앙형종괴，전자가견조새성폐염、폐불장급병조측폐문림파결종대，후자종격급병조측폐문림파결현저종대，3례병조측균가견흉강적액。결론：애자병합병폐내악성종류적 CT 표현구유일정특정성，CT 검사대기진단급감별진단구유중요개치。
Objective:The purpose of this study was to investigate the CT features of AIDS-related pulmonary malig-nant tumors.Methods:CT findings of eight patients of AIDS with pulmonary malignant tumors confirmed by pathology were retrospectively analyzed and summarized.Results:Four out of the eight cases were Kaposi sarcoma,three of which presented as thickened bronchovascular bundles and interlobular septum,nodules distributing along the bronchovascular bundles,me-diastinal,hilar or axillary lymphadenopathy,and bilateral pleural effusions.One case was lymphoma showing single mass with mild heterogeneous enhancement inside,which had necrosis and air bronchogram.The other three cases were lung cancer with obvious contrast enhancement.One was adenocarcinoma showing as a peripheral irregular mass with intrapul-monary metastases.The other two cases were squamous cell carcinoma and small cell carcinoma showing as central type ne-oplasms.There were pulmonary atelectasis and obstructive pneumonia accompanied by hilar lymphadenopathy on the same side in squamous cell carcinoma and obvious mediastinal and bilateral hilar lymphadenopathy in small cell carcinoma.Pleural effusion was seen on the lesion side in all the three cases.Conclusion:Pulmonary malignant tumors in AIDS patients have some typical CT imaging features and CT plays an important role in the diagnosis and differential diagnosis.
