摘要
目的总结细支气管肺泡癌BAC临床及CT表现,以提高对其的CT诊断水平。方法收集40例经病理证实的细支气管肺泡癌临床及CT资料,分析各型的临床表现与CT特征。结果孤立结节型17例,16例位于肺下野胸膜下,12例同时具有分叶、毛刺、胸膜凹陷征;11例出现空泡征,2例出现钙化征。弥漫型9例,有6例表现为弥漫分布的腺泡结节影,病灶以两下肺野分布为主,3例出现支气管血管束征与小叶间隔增厚,磨玻璃征5例,3例有融合现象。肺炎型14例,其中均匀实变7例,10例可见细支气管气像,5例见血管造影征,4例见碎石路征。结论细支气管肺泡癌的临床、影像表现复杂多样,熟悉其各型表现特点,便可提高诊断正确率。
Objective summary bronchioloalveolar carcinoma, BAC clinic and performance of CT, In order to improve level of diagnosis for it.Methods Collect 40 examples through the lung bubble cancer clinic and data of CTs of pathologic confirmation, find out its characteristic performance.Results Isolated Knot a 17 of stanza,16 locate the lung wild chest film next,12 have sublobe,barb and pleural indentation sign in the same time, 11 the examples appear the small bubble to advertise for,2 the example appears the calcify to advertise for; Widespread 9 of type, 6 the examples appears suffusion gland alveolus tubercle, focus of infection principal distribute lower field of lung, 3 the examples appears bronchi blood vessel collet and pulmonary lobule n compartment thickening ,3 the examples appears fusion. 5the examples appears frosted glass signs. Inflammationl4 example, 7 the examples appears uniformity consol in the it, 10 the example appears air bronchogram, 5the examples appears blood vessel opacification;visualization signs. 4 the examples appears macadam road; gravel road signs. Conclusion bronchioloalveolar carcinoma, BAC, image performance complications diverse, to the each performance thorough delicately analytical, can raise the diagnosis of this disease to match the rate.
出处
《当代医学》
2009年第12期112-113,共2页
Contemporary Medicine
关键词
细支气管肺泡癌
临床表现
CT征像
bronchioloalveolar carcinoma, BAC
Clinic appearance
CT signs
