摘要
目的 探讨原发性支气管肺类癌的临床、胸部平片及CT诊断。方法 针对经手术及病理确诊资料完整的 9例肺类癌 ,回顾性统计和分析其临床、胸部平片及CT表现。结果 临床主要表现为咳嗽 6例 ( 66.7% ) ,咳血 5例 ( 5 5 .6% ) ,发热 3例 ( 3 3 .3 % )。胸部平片肿瘤位于右肺 6例 ,左肺 3例 ,8例呈圆或类圆形 ,密度均匀 ,2例见浅分叶。CT扫描 6例中 ,2例圆形 ,4例 ( 80 % )分叶状 ,3例 ( 5 0 % )见中心密度减低的坏死区 ,肿瘤的平均直径 4.3cm ,平扫平均CT值 3 7.6Hu ,注入对比剂后 6例均有不同程度增强 ,CT值平均上升 3 9.8Hu。结论 肺类癌的表现缺乏特征性 ,但若能认真分析胸部平片及CT的每一征象 ,密切结合临床表现 ,完全可以提高本病术前诊断水平。
Objective To investigate the clinical manifestations, chest plain film and CT diagnosis of primary bronchial-pulmonary carcinoid. Methods Nine cases of primary bronchial-pulmonary carcinoid confirmed by operation and pathology were analyzed retrospectively. Results The clinical manifestations were cough in 6 cases (66.7%), hemoptysis in 5 cases (55.6%), fever in 3 cases (33.3%). Chest plain film showed lesions of right lung in 6 cases and lesions of left lung in 3 cases. Lesions in 8 cases were circular or ellipse with homogeneous density. Lesions in 2 cases were lobulated. CT showed lesions in 2 cases were circular and 4 cases were lobulated, lesions in cases had necrotic area with low central density. The average diameter of the lesions was 4.3cm, the average CT value was 37.6Hu and lesions in 6 cases were enhanced up 39.8Hu averagely after the contrast medium adminastrated. Conclusion The diagnosis of primary bronchial-pulmonary carcinoid, which lack of typical clinical manifestations, could be improved when signs of the lesions on CT and plain film be studied carefully and combine with the clinical manifestations.
出处
《中国医学影像技术》
CSCD
2003年第12期1624-1626,共3页
Chinese Journal of Medical Imaging Technology
关键词
原发性支气管肺类癌
临床表现
X线平片
体层摄影术
X线计算机
Primary bronchial-pulmonary carcinoid
Clinical manifestation
X-ray plain film
Tomography, X-ray computed
