38例肺癌早期X线征象的回顾  

Retrospective Observation of Early Radiologic Signs in 38 Cases of Pulmonary Carcinoma

作　　者：吴贵华[1] 李妍瑜[1] 卫致孝 

机构地区：[1]第三军医大学附属西南医院放射科

出　　处：《实用放射学杂志》1989年第1期3-5,共3页Journal of Practical Radiology

摘　　要：肺癌早期X线征象不多,缺乏特征性,如能早期发现提示肺癌的线索是很重要的。本文除1例外余37例均获得组织学证实,回顾其第一次照片的X线征象,有如下几种:(1) 单侧肺气肿,(2) 单发于某肺段或亚肺段的阻塞性肺炎,有的病例伴同侧肺门稍增浓或结构稍有紊乱,(3) 单一小薄片影,边缘清楚而毛糙,(4) 小斑状影,特别是斑影内有细小颗粒者,(5) 小结节病灶,特别是有血管、支气管集中及胸膜凹陷者(为腺癌的早期征象)等,都应想到是肺癌的早期征象,发生于40岁以上者更应警惕。It is very importent to provide imformation in early lung cancer, but early x-ray signs of lung cancer is not evident and no speacific characteristic.This article contain 37 cases of lung cancer which had been proved by histo-pathology, except one case We reviewed first-time films, and the early radiologic appearance of these cases incldaes: (1)unilateral emphysema; (2)solitary segment or subsegment obstructive pneumonia. Some associated co-lateral hilar deaser and/or blurred slightly (3)solitary patchy shadow with clear and shaggy in borde; (4)mottled shadow with granular shape in it; (5)a small nodular lesion which is always presence of convergence of broncho-vascular markings (early signs of adenocarcinoma) and pleural indentation et at. All of these signs should be consider as early lung cancers, especially in individuls at the age above 40 years old.

关 键 词：肺癌 X线征象 早期诊断 

分 类 号：R730.441[医药卫生—肿瘤]