含囊腔的肺内肿瘤性病变ct特征与病理对照分析

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1、军医进修学院硕士学位论文泡壁破坏融合形成舍气囊腔，另一类为肿瘤内部坏死，经细支气管排除而形成的薄壁空洞。舍囊腔的肺肿瘤，特别是周围型肺癌，囊腔通常代表肿瘤生长的早期阶段，病变继续发展，会形成肺内实性结节或肿块。关键词：肺癌：螺旋CT；病理军医进修学院硕十学位论文CTcharacteristicsandPathologicalCorrelationoflungtumorwithcystsAbstractObjective：TocomparativelyanalyzetheCTcharacteristicsandPathologicaltypesoflungtumorwithcystsin2

2、5patientsandtoimprovetheunderstandingofsuchkindoflesionsanddiscussthepathologicalbasisoftheformationofcystsMethods：FromJanuary2008toApril201l，25casesoflungcancerwithcysticlesionsunderwentmultislicespiralCTinPLAGeneralHospitalwereselected．Theclinicaldata-includingage，sex，clinicalsymptoms，diseaselo

3、cation，CTperformance，clinicalstage，pathologicaltypeswererecorded．CorrelationbetweenthepathologicalsectionandCTimageswereperformedin12cases．Results：25patientsincluding14malescasesand11femalescases．32-75yearsold，withmeanageof54-4-14．5yearsold，Lesionswere17caseswerefoundinhealthexamination，6CaseShav

4、ecough，sputumorbloodstainedsputum，theother2caseshavethemalignanttumorontheothersiteSwithoutobviouselinicalsymptomsoftherespiratorysystem．In25cases，5casesoccurredintheleftupperlobe，4caseSintheleftlowerlobe，7CaseSintherightupperlobe，1caseintherightmiddlelobe，8casesintherightlunglowerlobe．Alllesions

5、inthisgroupofaresolitary,thesizeoflesionrangedfrom1．0crn．7．3cm．10bulationcouldbeseenin22cases(88．0％)，spiculationin17cases(68．0％)，pleuralindentationin19caseS(76．0％)，vascularconvergencein19patients(76．0％)，cavitationorairbronchogramsignin17Cases(68．O％)．ThelesionWaspredominantcystsin6cases．cystsandso

6、lidmixedlesionsinl9cases．Therewere12cases(48％)withstageI，including7caseswithstageIaand5caseswithstageIb；9caseS(36．O％)withstageIIandallwereIIa；3caseS(12．0％)withstageIV；precancerouslesionsin1case(4．O％)．AdenocarcinomaWasfoundin21gases(84．O％)，includingmoderately．poorlydifferentiatedadenocarcinomain11

7、cases．truebronchioloalveolarcarcinomain1case．adcnocarcinomamixedwithbronchioloalveolarcarcinomain9cases；largeeellcarcinomain1case(4．O％)：metastatictumorin2caseS(8．0％)，breastcancel"andparotidadenoidcyrsticcarcinoma；atypi