摘要
本文采用 CT 扫描来评价65例胸片隐蔽的肺癌病灶。其中,周围型为75%(49/65)。全经病理学或细胞学证实.作者等认为 CT 对发现隐蔽的肺癌病灶比胸片更有优越性:(1)CT 有助于在隐蔽部位寻找有否原发灶,转移灶或多发灶。(2)隐蔽的肺癌病灶主要分布于10个区域但以椎旁沟处多见。(3)<3cm 的较小病灶57例(占88%),其中腺癌为41例(63%)。Ⅰ期肺癌15例(23%)。(4)探明放疗或化疗后有否残留灶。(5)可发现被胸腔渗液遮盏的肺部原发灶(19/20例,占95%)。作者等对 CT 何以能发现胸片隐蔽的肺癌病灶的原因作了讨论.
Chest CF scanning was attempted to evaluate 65 patients with hidden lung cancer lesions (including 49 cases of peripheral type)which failed to be exposed in chest X-ray film.All the cases were proved pathotogically.CT was found to be more sensitive than chest X-ray film in detecting hidden lesions of lung cancer.Its advantages are as followss(a)CT has confirmed the scanning distribusion of hidden lesions of lung cancer to be in ten areas,especially in the periver- tebral sulcus,(b)most of them are adenocarcinoma less than 3cm in deameter and 23%(15/65) cases were in the early stageⅠ(c)residual lesions can be detected after radiotherapy or chemother- apy,(d)pulmonary lesions are usually covered by pleural effusion,95%(19/20)of them can be exposed by CT(e)primary carcinoma of the lung with negative chest X-ray film as well as metastatic or multiple lung cancer in the hidden area,should he searched for when metastatic cancer is found in other organs.
出处
《实用肿瘤杂志》
CAS
北大核心
1992年第1期13-15,共3页
Journal of Practical Oncology
