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周围型肺癌CT增强扫描肿瘤边缘密度及血管与肿瘤转移预后的关系
引用本文:何旭升,刁胜林,吴华超,谌力群. 周围型肺癌CT增强扫描肿瘤边缘密度及血管与肿瘤转移预后的关系[J]. 中国医师杂志, 2005, 7(6): 732-734
作者姓名:何旭升  刁胜林  吴华超  谌力群
作者单位:1. 广东省湛江市第二人民医院放射科,广东,湛江,524003
2. 广东医学院附属医院
3. 广东省湛江农垦中心医院
摘    要:目的了解周围型肺癌增强扫描肿瘤边缘血管束、边缘密度改变及肿瘤类型与转移的关系。方法回顾性分析138例经手术病理或穿刺活检证实的周围型肺癌患者增强CT扫描征象。每例分别进行平扫及增强扫描,并分别测量平扫及增强扫描癌肿边缘的CT值。结果周围型肺癌增强扫描边缘血管束增粗迂曲,癌肿增强边缘密度与肺癌转移有关,腺癌发生转移机率高于鳞癌。结论从周围型肺癌CT增强扫描征象可以预测肿瘤发生转移的潜在可能性。

关 键 词:周围型肺癌 CT增强扫描 肿瘤边缘 肿瘤转移预后 增强CT扫描 回顾性分析 肿瘤类型 密度改变 肺癌患者 穿刺活检 手术病理 肺癌转移 肿瘤发生 血管束 CT值 癌发生 可能性 征象 平扫 癌肿
修稿时间:2004-12-13

The Relation between the Enhaced CT Image Parameters and Metastasis in Peripheral Lung Cancer
HE Xu-sheng,DIAO Sheng-lin,WU Hua-chao,et al.. The Relation between the Enhaced CT Image Parameters and Metastasis in Peripheral Lung Cancer[J]. Journal of Chinese Physician, 2005, 7(6): 732-734
Authors:HE Xu-sheng  DIAO Sheng-lin  WU Hua-chao  et al.
Affiliation:HE Xu-sheng,DIAO Sheng-lin,WU Hua-chao,et al. Department of Radiology,The Second People's Hospital of Zhanjiang City,Zhanjiang 524003,China
Abstract:Objecteve To study the relation between the enhanced CT image parameters and metastasis, type of peripheral lung cancer. Methods The enhanced CT image parameters of 138 peripheral lung cancers confirmed by pathology were analyed retrospectively. Both plane scan and contrast-enhanced CT were performed in all the patients, and boundary CT value of each lung cancer was measured. Results Contrast-enhanced CT showed that peripheral lung cancer had big and bent peripheral vessels, and the peripheral density of tumor mass was correlated with its metastasis. The frequency of adenocarcinoma metastasis was higher than that of squamous carcinoma. Conclusion Contrast-enhanced CT was helpful for predicting the latent possibility of peripheral lung cancer metastasis.
Keywords:Lung tumor  Radiography  Tomography
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