炎症型细支气管肺泡癌的临床与影像学特征

目的提高对炎症型细支气管肺泡癌的认识及诊断水平。方法回顾总结经支气管镜检查、肺穿刺及手术后病理证实的7例炎症型细支气管肺泡癌的临床表现及影像学表现。结果本组7例炎症型细支气管肺泡癌影像学诊断首诊5例误诊为肺炎,经抗炎治疗短期复查,肺穿刺等检查诊断为本病;2例误诊为肺结核,曾抗痨治疗6个月余,手术后病理明确诊断。结论炎症型细支气管肺泡癌类型特殊,影像学检查误诊率高,短期CT随访可提高影像学诊断准确率。

Inflammation of Bronchioloalveolar Carcinoma of the Clinical and Imaging Features

Objective Improve the irfflammation of the BAC level of understanding and diagnosis. Methods Review and sum up the bronchoscopy,lung puncture after surgery and pathology confirmed seven cases of inflammation of bronchioloalveolar carcinoma of the clinical and imaging performance. Results The group of seven cases of inflammatory BAC imaging diagnosis first diagnosed were misdiagnosed as pneumonia,the anti-inflammatory treatment of short-term review,such as lung puncture in the diagnosis of this disease：2 cases misdiagnosed as tuberculosis, have anti-tuberculosis treatment for six months,post-operative pathological diagnosis, Conclusions Inflammation Bronchioloalveolar carcinoma special type of cancer,imaging examination of misdiagnosis is high, short-term follow-up CT imaging to improve diagnostic accuracy.