叶间胸膜改变对原位肺腺癌及微浸润肺腺癌的诊断价值  

Value of interlobar pleural change in the diagnosis of AIS and MIA

作　　者：严金岗[1] 张善华[1] 王善军[1] 王兆宇[2] 周海伟[1] 曹捍波[1] 

机构地区：[1]浙江省舟山市人民医院放射科,浙江舟山316004 [2]浙江省舟山市人民医院病理科,浙江舟山316004

出　　处：《医学影像学杂志》2015年第7期1157-1159,共3页Journal of Medical Imaging

基　　金：舟山市卫生局项目(2012A02);舟山市卫生局项目资助

摘　　要：目的探讨原位腺癌(AIS)及微浸润腺癌(MIA)叶间胸膜改变及瘤内基础。方法收集经手术、病理证实的MIA及AIS各15例,分析叶间胸膜的CT特点,并与手术及病理进行对照研究。结果 AIS组表现为肿瘤紧贴叶间胸膜。MIA组表现为肿瘤远端与叶间胸膜间线状影加小三角形影,同时病理可见肿瘤相关成纤维细胞。结论 MSCT下叶间胸膜改变在AIS及MIA的诊断与鉴别诊断中有重要价值,而肿瘤相关成纤维细胞为主要间质细胞基础。Objective To study the interlobar pleural changes and tumor basis of AIS and MIA. Methods We colected 15 cases of MIA and AIS confirmed by surgery and pathology, analyzed CT characteristics of interlobar pleura, and com- pared with operation and pathology. Results AIS group appeared close to the interlobar pleural tumor. The MIA group showed tumor of distal and interlohar pleura between linear plus small triangular shadow, at the same time the pathological tumor was associated with fibroblasts. Conclusion MSCT interlobar pleural change has an important value in diagnosis and differential diagnosis of AIS and MIA, and tumor associated fibroblasts is the main basis of interstitial cells.

关 键 词：叶间胸膜 原位肺腺癌 微浸润肺腺癌 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]