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肺内孤立结节病变术前CT误诊原因分析
引用本文:蔡曙波,周婕,徐阳.肺内孤立结节病变术前CT误诊原因分析[J].临床肺科杂志,2006,11(3):297-298.
作者姓名:蔡曙波  周婕  徐阳
作者单位:710061,西安市结核病胸部肿瘤医院影像科
摘    要:目的分析CT误诊肺内孤立性结节病变性质的原因。方法对50例有术前CT诊断(误诊5例)并经手术病理证实的肺内孤立结节病变(SPN)进行分析。结果术前5例,2例术前诊断良性肿块,术后病理诊断为恶性。3例术前诊断为恶性肿块,术后病理分别诊断为隐球菌病、硬化性血管瘤、以及支气管囊肿并发感染。结论肺内肿块的术前CT诊断,可交错重叠,出现“同病异影”或“异病同影”使鉴别诊断出现困难。因此在肺内孤立性结节的CT诊断中必须密切结合临床,尽可能避免术前误诊。

关 键 词:肺内孤立性结节  CT诊断  误诊
收稿时间:10 17 2005 12:00AM
修稿时间:2005年10月17

Analysis of reason of misdiagnosis by CT in solitary pulmonary nodules
CAI Shubo,ZHOU Jie,YU Yang.Analysis of reason of misdiagnosis by CT in solitary pulmonary nodules[J].Journal of Clinical Pulmonary Medicine,2006,11(3):297-298.
Authors:CAI Shubo  ZHOU Jie  YU Yang
Institution:Medical Imaging Center, Xian Tuberculosis Hospital, Xian, 710061 China
Abstract:Objective To analyze the reasons of misdiagnose by CT in solitary pulmonary nodules (SPN). Methods The data of 50 SPN patients confirmed by CT before operation (5 misdiagnosed) and by pathology after operation were analyzed. The study period was between January 2004 and December 2004. Results In 5 misdiagnosis cases, 2 were misdiagnosis as benign tumors before operation and as malignant tumors after operation. 3 were diagnosed as malignant tumors before operation and were diagnosed by pathology as cryptococcosis (n=1), sclerotic angioma (n=1) and bronchus cyst (n=1). Conclusion Atypical symptoms of SPN reminds us of the importance of using clinical data in order to make correct diagnosis.
Keywords:solitary pulmonary nodules CT diagnosis misdiagnosis
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