早期肺腺癌影像学特点与病理侵袭程度相关性的研究进展  

Research progress on the correlation between imaging characteristics and pathological invasion degree of early lung adenocarcinoma

作　　者：杨延涛 黄云超[1] 赵光强[1] 叶联华[1] YANG Yantao;HUANG Yunchao;ZHAO Guangqiang;YE Lianhua(Department of Thoracic Surgery,The Third Affiliated Hospital of Kunming Medical University,Yunnan Cancer Hospital,Kunming,650000,P.R.China)

机构地区：[1]昆明医科大学第三附属医院云南省肿瘤医院胸外科一病区,昆明650000

出　　处：《中国胸心血管外科临床杂志》2023年第9期1337-1343,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(81860325);云南省高层次卫生技术人才培养资助项目(L-2017006);云南省基础研究项目(202201AY070001-135)。

摘　　要：随着多层螺旋CT技术的发展和低剂量螺旋CT筛查的普及,越来越多表现为磨玻璃结节(groundglass nodule,GGN)的早期肺腺癌被发现,而病理侵袭性是影响早期肺腺癌治疗策略选择和患者预后的重要因素之一。影像学特征因其在预测早期肺腺癌病理侵袭性的独特优势而被广泛关注,通过对GGN影像学特征进行分析,能够预测肺腺癌病理侵袭性大小,从而为临床决策提供依据。然而,预测病理侵袭性的具体影像学参数和参数数值大小尚存争议,本文对此进行综述。With the development of multi-slice spiral computed tomography(CT)technology and the popularization of low-dose spiral CT screening,more and more adenocarcinomas presenting ground-glass nodule(GGN)are found.Pathological invasiveness is one of the important factors affecting the choice of treatment strategy and prognosis of patients with early lung adenocarcinoma.Imaging features have attracted wide attention due to their unique advantages in predicting the pathologic invasiveness of early lung adenocarcinoma.The imaging characteristics of GGN can be used to predict the pathologic invasiveness of lung adenocarcinoma and provide evidence for clinical decisions.However,the imaging parameters and numerical values for predicting pathologic invasiveness are still controversial,which will be reviewed in this paper.

关 键 词：磨玻璃结节 肺腺癌 侵袭性 影像学特征 综述 

分 类 号：R734.2[医药卫生—肿瘤]