祁瑾, 叶兆祥, 肖建宇, 白广鑫, 战忠利. 支气管肺类癌:CT表现与病理对照研究[J]. 中国肿瘤临床, 2007, 34(21): 1218-1221.
引用本文: 祁瑾, 叶兆祥, 肖建宇, 白广鑫, 战忠利. 支气管肺类癌:CT表现与病理对照研究[J]. 中国肿瘤临床, 2007, 34(21): 1218-1221.
Qi jin, Ye Zhaoxiang, Xiao Jianyu, Bai Guangxin, Zhan Zhongli. Bronchopulmonary Carcinoid: CT and Pathological Features[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(21): 1218-1221.
Citation: Qi jin, Ye Zhaoxiang, Xiao Jianyu, Bai Guangxin, Zhan Zhongli. Bronchopulmonary Carcinoid: CT and Pathological Features[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(21): 1218-1221.

支气管肺类癌:CT表现与病理对照研究

Bronchopulmonary Carcinoid: CT and Pathological Features

  • 摘要: 目的:分析原发性支气管肺类癌的CT表现并与病理改变进行对照,了解各种CT征象的病理基础,提高对该病的诊断水平。方法:回顾分析临床资料完整并经手术及病理证实的32例支气管肺类癌,将CT表现与病理改变进行对照。结果:32例肺类癌CT上表现为中心型(21例)或周围型(11例)。肿块直径在1~6.6cm之间,呈圆形或卵圆形(17例)、分叶状(9例)或不规则形(6例),病灶境界清楚,边缘光滑。少数(6例)在肿块内见点彩状或弥漫样钙化。10例作增强扫描检查,肿瘤均有中度至明显强化,半数CT值上升50Hu以上,平均上升43Hu。结论:支气管肺类癌的CT表现与其病理特征一致。境界清楚、边缘光滑、钙化发生率较高,强化明显、较少转移以及"粘液嵌塞征"、"平行征"等有助于提高该病的诊断水平。

     

    Abstract: Objective: To analyze CT and pathological features of bronchopulmonary carcinoid and to explore the pathological foundation of its CT manifestations. Methods: The data from 32 cases of primary bronchopulmonary carcinoid diagnosed by surgery and pathology were retrospectively studied, and the features in CT scan and pathology were analyzed. Results: In this study, there were 21 cases of central carcinoid tumor and 11 cases of peripheral tumor. The maximum diameter of the lesions was 1 to 6.6cm. The lesions were round or ovoid in 17 cases, lobulated in 9 cases and irregular in 6 cases. The border of the lesions was clear, and the margin was smooth. Calcification was found in 6 cases. Ten cases received enhancement scanning, and the CT value of more than half of them increased by more than 50 Hu with an average increased value of 43 Hu. Conclusion: The features of bronchopulmonary carcinoid in CT scan are in accordance with their pathology. The CT scan shows that the border of the tumor is clear, the margin is smooth, and calcification and obvious enhancement are common. Parallel signs and mucoid impaction can also be found. The features above are helpful in using CT to diagnose bronchopulmonary carcinoid.

     

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