摘要
本文对30例肺结核误诊为肺癌的CT表现作回顾性分析。CT表现分二类：1．段／叶型4例,病变支气管均见狭窄或阻塞。2．结节／肿块型26例,部位不典型占50％；病灶＞3cm占61．5％。有分叶(53．8％)、毛刺(57．7％)、空洞(30．8％)、胸膜凹陷(53．8％)。61．5％病例无卫星灶,5例伴肺门、纵隔淋巴结肿大。对误诊的原因和肺结核与肺癌的鉴别进行了讨论。
In this article we made retrospective analysis on the CT features of 30 patients with pulmonary tuberculosis which misdiagnosed as malignant neoplasms. The CT manifestations are divided into two groups: 1. 4 cases are lobar and segment type. The attacked brochi can be seen obstruction or narrowing. 2. 26 cases are the type of nodular or mass-like, 50% of which are atypically located, 61.5% of which the lesion are more than 3cm in diameter, 53.8% are lobular in shape, 57. 7% are marginal spiculae. cavitation are seen in 8 cases. 53. 8% of which can be seen pleural shrinkage. Hilar and mediastinal lymph nodes enlargement can be seen in 5 cases. 61.5% of which have no satellite lesion. In this article we discuss the causes which leads to misdiagnosis and the main points on the different diagnosis between tuberculosis and lung carcinoma.
出处
《中国防痨杂志》
CAS
1997年第1期16-19,共4页
Chinese Journal of Antituberculosis
关键词
肺结核
诊断
误诊
CT
Tuberculosis, pulmonary/Diagnosis CT
