肺癌性淋巴管炎的CT诊断与鉴别诊断  

CT Diagnosis and Differential Diagnosis of Pulmonary Lymphangitic Carcinomatosis

作　　者：左玉江 王甄 欧阳庆 刘志林 张豫 陈振华 曾艳涛 

机构地区：[1]深圳市龙岗区布吉人民医院放射科,广东深圳518112 [2]深圳市公明人民医院放射科

出　　处：《实用放射学杂志》2009年第6期801-803,共3页Journal of Practical Radiology

摘　　要：目的总结肺癌性淋巴管炎（pulmonary lymphangitic carcinomatosis，PLC）CT表现。方法收集经病理确诊的7例PLC，所有的患者均做CT检查，对其CT表现进行回顾性分析。结果PLC分为弥漫型（4例）和局限型（3例）。全部病例均表现为支气管血管束的不规则增粗，由肺门向外的放射状阴影；高分辨率CT显示不同程度的小叶间隔增厚。肺内小结节6例，胸膜结节3例，胸腔积液4例，肺门、纵隔淋巴结肿大5例。结论PLC的CT表现有一定的特征性。Objective To explore the CT manifestations of pulmonary lymphangitic carcinomatosis （PLC）. Methods 7 cases of PLC verified by pathology were included in the study. All the patients underwent CT examination. The CT manifestations of PLC were analyzed retrospectively. Results In the study, PLC were divided into diffuse pattern （n=4） and local pattern （n=3）. CT scanning presented irregular thickening bronchovascular bundles and extrorse reticulonodular shadowing from the hilum in all the cases. High resolution CT scanning showed uniformed thickening of the interlobular septa. The other CT manifestations of PLC included multiple nodular shadow （n=6） , pleural nodules （n= 3） , pieural effusion （n= 4） , hilar and mediastinal lymph node enlargement （n=5）. Conclusion CT manifestations of PLC is of Certain characteristics.

关 键 词：肺 肺淋巴管癌病 肿瘤 体层摄影术 X线计算机 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]