摘要
目的:分析周围型支气管铸型病变的CT表现及其性质。方法:回顾性分析21例表现为周围型(段及段以远)支气管铸型的孤立性病变的CT表现,全部病例均进行16层MSCT平扫,其中7例完成了增强检查。结果:单支支气管铸型病变14例,其中肺癌10例(71%),2例增强均明显强化者为肺癌。分支状支气管铸型病变7例,其中恶性2例(29%),增强强化的3例中2例为肺癌。所有12例肺癌仅4例进行了增强扫描,全部强化。结论:周围型支气管铸型病变可能是肺癌,增强检查很有必要,明显强化可能提示肺癌诊断。
Purpose： To evaluate the features of the bronchial cast lesions and make the diagnosis. Methods： The solitary peripheral （segmental and distal to segmental） bronchial cast lesions in 21 patients were retrospectively analyzed. All patients were undergone 16-MSCT plain scanning and seven patients were undergone contrasted scanning. Results： Single bronchial cast lesions were seen in 14 patients and 10 of them were malignant. Two significantly enhanced lesions were malignant. The branched bronchial cast lesions were seen in seven patients and two of them were malignant. Three lesions in 5 patients with contrasted CT were significantly enhanced and two of them were malignancy and one was granuloma. Four of 12 patients with malignancy were undergone contrasted scanning and the lesions were significantly enhanced. Conclusion： The peripheral bronchial cast lesions are probably malignant and contrasted scanning is needed. Significantly enhancement may suggest the diagnosis of malignancy.
出处
《中国医学计算机成像杂志》
CSCD
北大核心
2013年第6期494-496,共3页
Chinese Computed Medical Imaging
