非小细胞肺癌侵犯胸膜或胸壁的影像诊断研究进展  

Research Progress on Imaging Diagnosis of Non-small Cell Lung Cancer Which Invades Pleura or Chest Wall

作　　者：王玥 袁智勇 Yue WANG;Zhiyong YUAN(Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer,Tianjin’s Clinical Research Center for Cancer,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院,国家恶性肿瘤临床医学研究中心,天津市恶性肿瘤临床医学研究中心,天津300060

出　　处：《中国肺癌杂志》2025年第2期131-137,共7页Chinese Journal of Lung Cancer

基　　金：天津市医学重点学科(专科)建设项目(No.TJYXZDXK-009A)资助。

摘　　要：分期的准确诊断是非小细胞肺癌(non-small cell lung cancer,NSCLC)治疗和预后的基础,其中肿瘤是否累及胸膜或胸壁是评估周围型肺癌分期的重要环节。计算机断层扫描(computed tomography,CT)、磁共振成像(magnetic resonance imaging,MRI)、超声(ultrasound,US)和正电子发射断层扫描(positron emission tomography,PET)等影像技术广泛地应用于判断NSCLC是否有胸膜侵犯,并且已经有越来越多评估NSCLC是否侵犯胸膜及侵犯程度的研究,本文就胸膜受侵的分期和影像诊断标准作一综述,以期为同行对侵犯胸膜或胸壁的精准诊断提供参考。Accurate staging is the fundamental basis for the treatment and prognosis of non-small cell lung cancer(NSCLC),and whether the tumor involves the pleura or chest wall is a critical aspect in assessing the staging of peripheral lung cancer.Imaging techniques such as computed tomography(CT),magnetic resonance imaging(MRI),ultrasound(US)and positron emission tomography(PET)are widely used to determine pleural invasion in NSCLC.There has been an increasing number of studies evaluating whether NSCLC invades the pleura and the extent of such invasion.This article provides a review of the staging and the imaging diagnostic criteria of pleural invasion,aiming to offer references for peers in the precise diagnosis of pleural or chest wall invasion.

关 键 词：肺肿瘤 胸膜 影像诊断 TNM分期 

分 类 号：R73[医药卫生—肿瘤]