癌性空洞的CT表现与病理的相关性分析  

CT features and pathological analysis of cavitating lung cancer

作　　者：廖庆厚 吴仕强 冯仕庭[2] 陈境弟[2] 

机构地区：[1]广东省龙川县人民医院放射科 [2]中山大学附属第一医院放射科

出　　处：《中国CT和MRI杂志》2008年第2期49-51,共3页Chinese Journal of CT and MRI

摘　　要：目的总结癌性空洞的CT表现,并与病理结果相对照,提高对该病的诊断水平。方法回顾性分析17例经病理证实的癌性空洞的CT表现,其中男13例,女4例,年龄45-73岁,中位年龄为59岁,全部病例均行胸部CT平扫,其中9例同时行增强扫描。结果癌性空洞CT上主要分为厚壁空洞(n=15)和薄壁空洞(n=2)类型。病理上,17例癌性空洞中,鳞癌9例,腺癌5例,腺鳞癌2例,小细胞癌1例。结论综合分析空洞的形态、空洞周围的改变,不仅可对癌性空洞做出准确的诊断,还能对肿瘤的病理类型与生物学行为作出评价。Objective To sum up the CT features of cavitating lung cancer and compare with the pathological findings so as to improve the diagn, ositic accuracy of the disease. Methods The CT features of 17 cases with cavitating lung cancer, proven by pathology, were analyzed retrospectively. There were 13 men and 4 women whose ages ranged from 45-73. The mean age was 59. CT plain scan of chest was performed in all the patients while enhanced CT was performed in 9 cases. Resets There were two patterns of cavitating lung cancer in CT manifestations. There were 15 cases with thickwall cavities and 2 cases with thin-wall cavities. Pathologically, 9 cases wre squamouscell carcinomas, 5 cases adenocarcinomas, 2 cases adenosquamous carcinoma and 1 case was small-cell carcinoma. Conclusion Combining with analysis of appearance and the changes of the cavities, we can not only make the correct diagnosis of cavitating lung cancer, but also evaluate the pathological pattern and biological behaviour of the disease.

关 键 词：肺癌 空洞 断层摄影 X线计算机 病理 

分 类 号：R814.42[医药卫生—影像医学与核医学] R734.2[医药卫生—放射医学]