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X线征象对肺癌组织类型判断价值的再探讨 被引量:2

THE VALUE OF X-RAY MANIFESTATION FOR JUDGING HISTIOLOGIC TYPES OF LUNG CARCINOMA
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摘要 采用世界卫生组织(WHO)1982年的肺癌组织学分类法,对照观察了110例肺癌的X线表现。结果表明根据中央型鳞癌和小细胞癌,周围型鳞癌和腺癌,弥漫型肺泡癌的X线特点,对这5种肺癌作出组织类型判断的符合率为80.2%。用X线征象判断肺癌组织类型的总符合率为65.8%。周围型的大细胞癌、小细胞癌、腺鳞癌无特殊的X线表现;各类型肺癌中存在一些X线表现“不典型”及难以判断组织类型的病例是造成总符合率低的主要的因素。根据X线征象判断肺癌的组织类型具有肯定作用,但也存在着一定的客观限度。 Using the WHO histiological typing of lung tumours published in 1982, different histiologic types were observed by X-ray manfestations on 110 cases of lung cancer. The results suggested that most small cell carcinoma and squamous carcinoma of central type, adenocarcinoma and sqaumous carcinoma of peripheral type, and bronehiolo-alvcolar carcinoma of diffuse type were radiographically characteristic to some extent. From their X-ray fcatures, histiological types could be inferred and the comformable rate of these five kind was 80.2%. However, the total comformable rate of all kinds together was 65.8%. The reason was that adenosquamous carcinoma, small cell carcinoma and large cell carcinoma of peripheral typehad no obvious X-ray features, and also there were some atypical cases and hardly inferring cases in each types of lung cancer, which would result in decreasing the total comformatle rate. Although judging of histiological types by X-ray manifestations was possible to certain extent, but there remained some objective limitations.
出处 《暨南大学学报(自然科学与医学版)》 CAS CSCD 1993年第4期67-71,共5页 Journal of Jinan University(Natural Science & Medicine Edition)
关键词 肺癌 放射线 组织类型 X线诊断 lung carcinoma radiology histiological type
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