肺炎型肺癌的影像学特点及误诊分析  

Imaging Features of Pneumonia Lung Cancer and Misdiagnosis

作　　者：陈红梅[1] 刘慧 黄文起[1] 崔宁[1] 邢达[3] 

机构地区：[1]河南省商丘市第一人民医院,河南商丘476100 [2]郑州大学附属肿瘤医院,河南郑州450008 [3]华南师范大学,广东广州510000

出　　处：《现代生物医学进展》2015年第19期3721-3723,3727,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金青年项目(30870676)

摘　　要：目的:探讨肺炎型肺癌影像学特点,深入肺炎型肺癌认识,提高诊断水平,降低临床误诊率。方法:随机选取2013年1月份至2014年2月份我院胸外科住院治疗的36例肺炎型肺癌患者作为研究对象,回顾性分析全部患者的影像学资料及病理检查结果。结果:患者病变部位在各肺段均有分布,局限性及弥漫性分布均可见,其中局灶性分布较大,未出现跨越肺段侵袭肺叶的病例。影像表现主要为边缘不清云絮状肿块影、云絮状影伴结节、肺段实变影、肺实变伴空泡及蜂窝状影、肺炎纤维样化及混合阴影。其中,单纯性磨玻璃影10例;磨玻璃结节肿块10例;肺段分布实变影7例;肺叶及肺段实变伴空泡或蜂窝状影6例;肺炎样纤维化及肿块10例;混合阴影(4种或4种以上阴影并存)3例。结论:肺炎型肺癌患者影像学检查结果多具有肺炎样改变,极易误诊肺炎性疾病,临床诊断中结合活检检查技术,有利于改善临床诊断正确率。Objective： To investigate the imaging features of pneumonic lung, cancer, in order to improve the diagnosis of this disease and reduce the misdiagnosis rate. Methods： 36 patients hospitalized with pneumonia lung cancer patients from January 2013 to February 2014 in our hospital thoracic surgery were randomly selected as research subjects. All patients were retrospectively analyzed the imaging data and pathological findings. Among them, there were 10 cases of simple ground glass shadow, ground glass nodular mass 10 cases, lung segment consolidation shadows in 7 cases, consolidation of the lung and lung segment with cavitation or honeycomb shade 6 cases, 10 eases of pneumonia fibrosis and tumor, mixed shadow （four or more than four shadow coexist） in 3 patients. Results： The lung lesions could be situated in every pulmonary segment, with more focal distribution, non- invasive the lobe spanning the pulmonary segment. The imaging characteristic mainly included the flocculent mass with unclear boundary, cottony clouds shadow with nodules, pulmonary segments opacities, pulmonary consolidation with vacuoles and honeycomb shadow, pneumonia-like fibrosis and mixed shadows. Conclusions： The pneumonia lung cancer showed more pneumonia-like changes in imaging, and could be easily misdiagnosed as pneumonia, so the imaging combined with the biopsy techniques would help to improve the accuracy of clinical diagnosis of pneumonia lung cancer.

关 键 词：肺炎型肺癌 影像学 误诊 

分 类 号：R734.2[医药卫生—肿瘤] R445[医药卫生—临床医学]