| 梁拥辉,郭爱菊.周围型小细胞肺癌的CT表现[J].济宁医学院学报,2020,43(6):402-405 |
| 周围型小细胞肺癌的CT表现 |
| CT findings of peripheral small cell lung cancer |
| 投稿时间：2020-04-03 |
| DOI：10.3969/j.issn.1000-9760.2020.06.006 |
| 中文关键词: 小细胞肺癌;计算机体层摄影术 |
| 英文关键词: Small cell lung cancer;Computed tomography |
| 基金项目: |
| 作者 | 单位 | | 梁拥辉 | 河南省中医院, 郑州 450002 | | 郭爱菊 | 河南省中医院, 郑州 450002 |
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| 中文摘要: |
| 目的 探讨周围型小细胞肺癌（peripheral small cell lung cancer，PSCLC）的CT表现特征。方法 收集30例经病理确诊的PSCLC患者CT资料，分析其CT表现。结果 30例PSCLC患者中男28例，女2例，年龄36~80岁。左肺上叶8例，左肺下叶10例，右肺上叶8例，右肺下叶4例。全部为实性密度，病灶大小1~10cm。圆形及类圆形型20例，蠕虫形4例，纺锤形6例。26例有分叶征。20例见分支状结构。20例瘤肺界面清楚。22例无毛刺征，28例无胸膜牵拉征。支气管截断22例。纵隔或肺门淋巴结肿大24例。4例阻塞性炎症。胸腔积液12例，远处转移8例。结论 PSCLC具有一定CT表现特点，结合CT特点有助于临床诊断。 |
| 英文摘要: |
| Objective To investigate the CT features of peripheral small cell lung cancer(PSCLC).Methods CT data of 30 patients with PSCLC diagnosed by bronchoscopy and biopsy were collected and their CT findings were analyzed.Results Of the 30 patients, 28 were male and 2 were female, aged 36~80.There were 8 cases of left upper lobe, 10 cases of left lower lobe, 8 cases of right upper lobe, and 4 cases of right lower lobe.All are solid density.The lesion size was 1~10cm.There were 20 cases of circular and quasi-circular type, 4 cases were worm-shaped, and Spindle shape in 6 cases.26 cases had lobulation sign.Branching structures were seen in 20 cases.20 cases of tumor lung interface was clear.There were 22 cases without burr and 28 cases without pleural traction.Bronchial truncation was performed in 22 patients.Mediastinal or hilar lymph nodes were enlarged in 24 cases.There were 4 cases of obstructive inflammation.There were 12 cases of pleural effusion and 8 cases of distant metastasis.Conclusion PSCLC has certain CT features, and CT has good diagnostic value. |
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