老年患者亚厘米肺结节术前CT随访分析  

Analysis of the preoperative follow-up computed tomography in aged patients with lung subcentimeter nodles

作　　者：张辉标[1] 陆英杰[1] 毛定飚[2] 吕帆真[1] 朱正洪[1] 

机构地区：[1]复旦大学附属华东医院胸外科,上海市200040 [2]复旦大学附属华东医院CT室,上海市200040

出　　处：《老年医学与保健》2015年第3期168-170,共3页Geriatrics & Health Care

摘　　要：目的对亚厘米肺结节进行CT随访，并观察其变化情况。方法收集69例经病理证实为微浸润或浸润性腺癌的老年患者CT随访资料。结果随访过程中，病灶增大者有32例，病灶内实性成分增多者有30例，其中有10例同时合并病灶增大及实性成分增多；2例磨玻璃灶中含空泡者病灶直径未见增大、但病灶内空泡被充填；另有5例病灶直径及性质均无变化。结论亚厘米结节出现增大及实性成分增多提示恶性倾向。Objective To analyze the preoperative follow-up computed tomography （CT） in the elderly patients with subcentimeter nodules. Method 69 patients with the pathological diagnosis as atypical adenomatous hyperplasia or adenocarcinoma in situ or minimal invasive adenocarcinoma and invasive adenocarcinoma were enrolled. CT was performed on these patients regularly and the results were collected for analysis. Results 32 tumors were found to get lesion enlargement; 30 tumors were found to get increased percentage of solid component. There were 10 patients got both lesion enlargement and increased solid component. 2 patients got minimal space filled in ground glass opacity lesion, combined without lesion enlargement. 5 tumors were found to have no changes in neither tumor size nor component percentage. Conclusion Lesion size enlargement and increased solid component percentage in subcentimeter nodules may predict possibility of malignant conversion

关 键 词：老年人 亚厘米肺结节 术前CT随访 

分 类 号：R730.44[医药卫生—肿瘤]