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胸部恶性肿瘤放化疗后肺内癌性淋巴管炎临床及影像学诊断分析
引用本文:袁彬,王妍焱,赵玲娣,施常备. 胸部恶性肿瘤放化疗后肺内癌性淋巴管炎临床及影像学诊断分析[J]. 现代肿瘤医学, 2011, 19(9): 1768-1769. DOI: 10.3969/j.issn.1672-4992.2211.09.22
作者姓名:袁彬  王妍焱  赵玲娣  施常备
作者单位:1. 陕西省肿瘤医院中西医结合肿瘤内科,陕西,西安,710061
2. 卫生部北京医院放射科CT室,北京,100005
3. 中国医学科学院肿瘤医院肿瘤内科,北京,100021
摘    要:目的:探讨胸部恶性肿瘤在放化疗后出现癌性淋巴管炎的临床及影像学特点。方法:回顾性分析23例经临床证实的胸部恶性肿瘤放化疗后出现癌性淋巴管炎的临床及影像学资料。结果:PLC主要表现为咳嗽、干咳为主,气短进行性加重抗炎治疗无效,肺功为限制性通气障碍。X线片:双肺弥漫性网状,结节状等间质纤维样变,可见胸腔积液。CT见:小叶间隔不均一增厚,结节状,胸膜不规则增厚,肺门纵隔淋巴结增大。放疗后的病人改变多出现在放射野外。结论:对治疗后病人的当影像学检查提示肺呈类间质纤维化改变时,尤其合并肺门纵隔淋巴结肿大、胸水者,应进一步检查必要时病理确诊,早期诊断早期治疗。

关 键 词:胸部恶性肿瘤  放化疗  癌性淋巴管炎  影像学检查/CT

Clinical and imaging manifestations of pulmonary lymphangitic carcinomatosis in chest malignant tumor after chemotherapy or radiotherapy
YUAN Bin,WANG Yanyan,ZHAO Lingdi,SHI Changbei. Clinical and imaging manifestations of pulmonary lymphangitic carcinomatosis in chest malignant tumor after chemotherapy or radiotherapy[J]. Journal of Modern Oncology, 2011, 19(9): 1768-1769. DOI: 10.3969/j.issn.1672-4992.2211.09.22
Authors:YUAN Bin  WANG Yanyan  ZHAO Lingdi  SHI Changbei
Affiliation:YUAN Bin1,WANG Yanyan2,ZHAO Lingdi3,SHI Changbei1 1Department of Physical Oncology,Shaanxi Provinicial Tumor Hospital,Shaanxi Xi' an 710061,China,2Department of Radiology,Beijing Hospital,Beijing 100005,3Department of Physical Oncology,Cancer Hospital,Chinese Academy of Medical Sciences,Beijing 100021,China.
Abstract:Objective:To explore the clinical manifestations and imaging of pulmonary lymphangitic carcinomatosis(PLC)in chest malignant tumor after chemotherapy or radiation.Methods:Retrospective analysis was performed on the data of imaging of 23 cases of PLC,received chemotherapy or radiation.Results:The main clinical manifestations of PLC were)cough,particuly dry cough,dyspnea restrictive pattern ventilation.X-ray:diffuse or reticulonodular infiltrates in the lung like interstitial fibrosis and pleural effusion on ...
Keywords:chest malignant tumor  chemotherapy  pulmonary lymphangitic carcinomatosis  imaging  
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