摘要
目的:探讨局灶性磨玻璃征(Ground Glass Opacity GGO)对早期周围型肺癌的诊断价值。方法:搜集临床、CT资料完整,经手术病理证实的早期周围型肺癌27例(28个),对其CT表现,作一回顾性分析。结果:28个早期周围型肺癌直径均<2.0cm,呈园形或卵园形22个,其中纯GGO或部分GGO密度的有21个,并见有毛刺14个,血管集束征14个,胸膜凹陷13个,分叶征10个和小泡征8个。结论:局限性GGO为早期周围型肺癌重要CT征象之一,若同时具备下列4项中的一项或多项高度提示早期小肺癌:①结节呈圆或卵圆;②内部见实性结节(即部分GGO);③伴有分叶、毛刺、血管集束征、胸膜凹陷征等其它恶性征象;④短期复查未变化。
Objective：To evaluate the value of focal area of ground glass opacity GGO in diagnesis of early peripheral lung ancer by MIX..Methods： Twenty-seven patients with 28 peripheral lung nodules were discovered by CT. And, all of those nodules were proved to be small lung cancer by surgery and histo-pathology. Thln-slice section CT was performed in every patient. Results： Among the 28 nodules, the maximal diameter of the nodules were less than 20mm n = 28, round or oval shape n = 22, focal areas of pure GGO opacity mixed with isolated dense consolidaton n = 21, vascular convergence sign n = 14, spur formation n = 14, lobulation n = 10, and vacuolar sign n = 8. Conclusion： An oval or round ground-glass opacity nodule of lung is one of the important signs of malignancy. Authors believed that when a GGO nodule combined with signs of round or oval shape, part solid, vascular convergence, spur formation, lobulation or pleural indentafionetc, an early lung carcinoma should be highly suspected.
出处
《医学影像学杂志》
2007年第6期553-556,共4页
Journal of Medical Imaging
关键词
早期周围型肺癌
磨玻璃征
体层摄影术
X线计算机
Early peripheral carcinoma of lung
Ground Glass Opacity
Tomography, X-ray computed
