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孤立型细支气管肺泡癌CT诊断
引用本文:宋文棉,张胜联,付国芬,陈巨坤,刘爱波. 孤立型细支气管肺泡癌CT诊断[J]. 实用放射学杂志, 2002, 18(1): 17-19
作者姓名:宋文棉  张胜联  付国芬  陈巨坤  刘爱波
作者单位:1. 河北省复员军人医院,河北,邢台,054000
2. 解放军总医院
3. 山东省烟台市肿瘤医院
摘    要:目的 分析孤立型细支气管肺泡癌 (SBAC)的CT征象特点 ,以提高其CT诊断准确性。方法 回顾性分析 1990 -0 1~1999-0 3经手术病理证实的 39例SBAC的CT表现 ,并与其它类型的直径≤ 3mm的 48例周围型肺癌进行对照分析。结果 CT显示分叶 32例 ,毛刺 33例 ,胸膜凹陷 2 5例 ,血管集束 14例 ,病灶内空泡和 /或细支气管充气 18例 ,磨玻璃样改变 8例。结论 SBAC的特征性CT表现 :( 1)空泡和 /或细支气管充气 ;( 2 )粗长毛刺 ;( 3)磨玻璃样改变。认识SBAC的CT表现 ,有助于提高其诊断水平。

关 键 词:断层摄影  X线计算机  细支气管肺泡癌
文章编号:1002-1671(2002)01-0017-03
修稿时间:2000-07-20

CT Diagnosis of Solitary Bronchioalveolar Carcinoma
SONG Wen-mian,ZHANG Sheng-lian,FU Guo-fen,CHEN Ju-kun,LIU Ai-bo. CT Diagnosis of Solitary Bronchioalveolar Carcinoma[J]. Journal of Practical Radiology, 2002, 18(1): 17-19
Authors:SONG Wen-mian  ZHANG Sheng-lian  FU Guo-fen  CHEN Ju-kun  LIU Ai-bo
Abstract:Objective To analyse the CT features of solitary bronchioalveolar carcinoma(SBAC) so that to improve the CT diagnostic accuracy.Methods CT findings of 39 cases with SBAC proved by operation and pathology were studied,and an analysis as compared with 48 cases other type of peripheral pulmonary carcinoma.Results CT findings included lobulations in 32,spiculation in 33,pleural tags in 25,bronchovascular bundles in 14,vacuole or/and bronchiologram in 18 and ground glass changs in 8 cases.Conclusion The characteristic CT manifestations of SBAC are:(1)Vacuole or/and bronchiologram;(2)Long spiculation;(3)Ground-glass.It is important to recognize the CT appearances of SBAC in order to improve diagnostic ability.
Keywords:tomography   X-ray computed  bronchioloalveolar carcinoma
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