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目的:探讨空洞性肺癌的临床及影像特征。方法:回顾分析34例空洞型肺癌影像改变。结果:部位:中心型14例,周边型20例。上叶21例,下叶13例。空洞特征:偏心空洞30例,多为近肺门侧壁厚。伴液平6例,有毛刺9例,有分叶及切迹12例。周围血管僵直18例,HRCT见周围小叶间隔串珠样改变6例,胸腔积液6例,淋巴结肿大12例。胸膜尾征12例。单发28例,多发6例。病理:鳞癌23例,腺癌4例,小细胞未分化癌4例,肺泡癌2例,未定型1例。结论:影像学检查对肺癌性空洞有较重要的价值。
Objective: To investigate the clinical and imaging features of lung cancer. Methods: Retrospective analysis of 34 cases of empty lung cancer image changes. Results: Location: 14 cases of central type, peripheral type 20 cases. 21 cases of upper lobe, 13 cases of lower lobe. Empty features: 30 eccentric cavities, mostly near the side wall of the hilar. With fluid level in 6 cases, burr in 9 cases, with lobulation and notch in 12 cases. 18 cases of peripheral vascular stiffness, HRCT seen around the interlobular septal beaded like change in 6 cases, 6 cases of pleural effusion, lymphadenopathy in 12 cases. Pleural tail sign in 12 cases. Solitary hair 28 cases, multiple in 6 cases. Pathology: Squamous cell carcinoma in 23 cases, adenocarcinoma in 4 cases, small cell undifferentiated carcinoma in 4 cases, alveolar carcinoma in 2 cases, unconfined in 1 case. Conclusion: Radiographic examination has more important value for lung cancer.