隐匿型肺癌的影像学诊断  

The Imaning Diagnosis of Hidden Lung Cancers

作　　者：尉仲春 钱明山[2] 刘子江[3] 

机构地区：[1]浙江省永康市第一人民医院放射科,321300 [2]浙江省中医院放射科 [3]浙江省人民医院放射科

出　　处：《临床肺科杂志》2003年第2期105-108,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的　探讨隐匿型肺癌的影像学表现特征。方法　对经病理证实的隐匿型肺癌 10 0例胸片、CT片及有关临床资料进行分析。结果　肿块分别隐蔽在肺尖 3例、肺门区 2 8例、支气管内 2例、奇静脉食管窝 7例、脊椎旁19例、心影后 13、膈肌后 7例、膈肌上 4例、胸膜缘 10例及胸水遮盖 7例。其中鳞癌 35例 ,腺癌 5 0例 ,15例找到癌细胞但未定型。结论　隐匿型肺癌胸部平片容易漏诊 ,高 KV片对诊断有帮助 ,CT可清楚显示 X线平片不易显示的隐蔽性病灶 ,对早期发现和及早作出正确的定位定性诊断具有重要价值。Objective To analyse X ray images of hidden luny Cancers.Methods To restropectively review the X ray films.CRscans of 100 cases pf pathologically confirmed hidden lung concers.Results The tumor hidden in apex of lung 3 cases,hilus of lung 28 cases bronchus 2 case.azygoesphageal concavity 7 cases.Parvertebrae 19 cases,reirocardica blind area 13 cases,diaphragm 7 cases diaphragm 4 cases.pleura margin 10 cases,pleural effusion 7 cases.in pathologically,squamous cell carcinoma in 35 cases adenocarcinoma in 50 cases,cancer cell was found in 15 cases but can't classify.Conclusion The accuraey of chese film diagnosis is low,high KV film helps to make the diagnosis The hidden tumor is well seen in CT,CT Sans have great diagnostic Value in determine the location and qualitation.

关 键 词：隐匿型肺癌 影像学诊断 胸片 CT 诊断 

分 类 号：R734.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]