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作 者:丁琦峰[1] 杨勇政[2] 王海波[1] 任银祥[1] 左自军[1] DING Qifeng;YANG Yongzheng;WANG Haibo;REN Yinxiang;ZUO Zijun(Department of Radiology,The Second Affi liated Hospital of Luohe Medical College,Luohe 462000,Henan Province,China;MRI Room,The Second Affiliated Hospital of Luohe Medical College,Luohe 462000,Henan Province,China)
机构地区:[1]漯河医学高等专科学校第二附属医院CT室,河南漯河462000 [2]漯河医学高等专科学校第二附属医院MRI室,河南漯河462000
出 处:《肿瘤影像学》2019年第1期52-55,共4页Oncoradiology
摘 要:目的:探讨并总结支气管黏液表皮样癌(mucoepidermoid carcinoma,MEC)的CT表现,提高影像学诊断的准确率。方法:回顾性分析漯河医学高等专科学校第二附属医院2015年8月—2017年10月经病理学检查证实的12例支气管MEC患者,归纳并总结其影像学表现,并与病理学检查结果进行对比。结果:12例患者表现为咳嗽、咳痰、咯血及胸闷,其中2例肿瘤位于气管,3例位于主支气管,6例位于段支气管,1例位于右侧中间支气管。平扫均为等或稍低密度,4例可见钙化,增强扫描为中度-明显强化,3例强化不均匀。结论:支气管MEC的CT表现有一定的特征性,多层螺旋CT(multislice spiral CT,MSCT)平扫加增强结合多平面重建(multi-planar reformation,MPR)可显著提高其诊断准确率。Objective: To investigate and summarize the CT features of bronchial mucoepidermoid carcinoma(MEC) to improve the diagnostic accuracy of imaging. Methods: The CT data of twelve MEC patients confirmed by pathology from Aug. 2015 to Oct.2017 in The Second Affiliated Hospital of Luohe Medical College were retrospectively analyzed and compared with pathological results. Results: Twelve patients presented with cough, expectoration, hemoptysis and chest tightness. Among them, two lesions were located in the trachea, three in the main bronchus, six in the segmental bronchus, and one in the right middle bronchus. Plain scan showed isodensity or slightly low density. Calcifications were seen in four cases. Enhanced scan showed medium to obvious enhancement, and three cases had inhomogeneous enhancement. Conclusion: CT findings of bronchial mucoepidermoid carcinoma have certain characteristics. Multi-slice spiral CT(MSCT) scan plus enhanced scan and multi-planar reconstruction(MPR) can significantly improve the diagnostic accuracy.
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