细支气管肺泡癌的X线CT诊断  

X-ray and CT Diagnosis of Bronchioloalveolar Carcinoma

作　　者：张蕴[1] 杜红文[1] 付和睦[1] 郭佑民[1] 刘继汉[1] 

机构地区：[1]西安市西安交通大学第一医院影像中心,710061

出　　处：《中国医学影像学杂志》2001年第4期252-254,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :提高细支气管肺泡癌 (BAC)的X线、CT诊断水平。材料与方法 :回顾性分析 2 4例BAC的X线、CT表现 ,将其分为结节型、炎症型和弥漫型。结果 :结节型 7例 ,均为单发结节。炎症型 6例 ,两肺多发斑片状影 4例 ,大叶实变 2例。弥漫型 11例 ,两肺呈细小结节影 10例 ,网状结节影 1例。单侧或双侧胸腔少量积液 8例 ,心包大量积液 5例 ,双侧肺门淋巴结增大 3例。胸部及远处骨质破坏 6例。结论 :BAC影像表现多种多样 ,炎症型需与肺结核、肺炎等鉴别。仔细观察、分析X线、CT征象并结合临床表现与治疗情况 ,可提高BAC的诊断正确率。Purpose: To improve the diagnostic accuracy of the bronchioloalveolar carcinoma (BAC) on X ray film and CT scan. Materials and Methods: X ray and CT features of BAC of 24 cases were retrospectively analysed. It was divided into three types: nodular, inflammatory and diffuse types. Results: Nodular group was solitary mass in 7 cases. Inflammatory group showed one or two lobes consolidation in 2 cases and multiple biateral patch or consolidation in 4 cases. Diffuse type had 11 cases, showing widespresd small node in 10 cases and reticulonodular shadows in 1 case. Invasion or metastasis signs included: a few pleural effusion in 8 cases, a lot of percardial effusion in 5 cases, bilateral hilar lymph node enlargment in 3 cases, multiple destruction of bone in 6 cases. Conclusion: BAC is found various imaging manifestations. Inflammatory type of BAC could be differentiated from pulmonary tuberculosis and pneumonia. It is possible to increase the accuracy rate of BAC by careful observing and analysing X ray and CT appearances and combining with clinical findings and treatment results.

关 键 词：细支气管肺泡癌 细支气管气象 X线 CT 诊断 

分 类 号：R734.204[医药卫生—肿瘤]