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作 者:魏大藻[1] 赖吉盛[1] 张汝绵[1] 阎书臣[2] 林浩皋 曾庆思[4] 林华恩[5] 王兆熊[6]
机构地区:[1]广东省人民医院 [2]广州军区广州总医院 [3]中山医大肿瘤医院 [4]广州医学院附一院 [5]广东韶关粤北医院 [6]海南省人民医院
出 处:《癌症》1990年第2期110-112,共3页Chinese Journal of Cancer
摘 要:本文总结了≤3cm的周围型肺癌125例的X线表现。其中鳞癌36例,腺癌79例(含肺泡癌13例),小细胞癌4例,小细胞癌鳞癌混合1例,类癌3例,未能分型2例。癌的形态呈结节状112例(89.6%),浸润型13例(10.4%)。结节型中大多数有分叶(85.7%), (1—1.5cm的6例均有分叶)。其次较有诊断意义的为结节边缘模糊毛糙(74.1%)。经手术切除的116例中有淋巴结转移的28例(24%),其中仅有肺门淋巴结转移的12例,同时有肺门和纵隔淋巴结转移的10例,仅有纵隔转移的6例。另有3例有锁骨上淋巴结转移的未计入。测量了28例肿瘤的CT,其范围为12—860天,中位数85天,85%在320天内,3例超过370天。简述了早期周围型肺癌各种各样的X线表现。The roentgenological manifestations in 125 cases of peripheral pulmonary carcinoma with size smaller or equal to 3 cm were analyzed , among them squamous cell carcinoma was found in 36 cases , ad)enocarcinoma 79 (including alveolar carcinoma 13), small cell carcinoma 4, carcinoid 3, combined small and squamous cell carcinoma 1 and unclassified 2 . The shapes of lesions were nodular in 112 cases (89.6%) and infiltrative in 13(10.4%) .Most nodules were lobulated (85:7%), 6 cases of 1 - 1.5 cm in size were all lobulateb. Another diagnostic sign was the hazy anb shaggy margins of the tumor, which was found in 74.1%, 116 cases were resected , in which 28 cases (24.1%) had metastases to the lymph nodes. Both hilar and mediastinal metastasized nodes were found in 10 cases, hilar nodes only in 12. and mediastinal nodes only in 6 . Besides, 3 cases with superclavicular lymphatic metastases were not included herein. The doubling time (DT) of cancers was calculated in 28 cases, ranging from 12-860 days with a median value of 85 days. The DT was less than 320 days, in 85% cases and more than 370 day s in 3 cases. Early radiological signs of peripheral lung cancer were also discussed.
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