Department of Radiology, Haddasah University Hospital, Kiryat Hadassah, Jerusalem, Israel.
Cancer Imaging. 2004 Mar 4;4(2):61-7. doi: 10.1102/1470-7330.2004.0002.
Local, regional and distant tumor recurrence is common following surgical resection for non-small cell lung cancer. It is important to be familiar with the patterns of recurrence and to differentiate them from the normal post-operative appearance and post-radiation changes. The risks and types of recurrence are influenced by various factors including preoperative tumor stage, histological type and type of surgical resection. Treated patients are at risk for developing a second lung primary, reported to be 1-4% per year, and therefore follow-up must be aimed at detecting not only recurrent cancer, but also a new, primary lung cancer. Different follow-up imaging strategies have been suggested, including conventional radiography, CT and/or PET scanning.
局部、区域和远处肿瘤复发在非小细胞肺癌手术后很常见。熟悉复发模式并将其与正常术后表现和放疗后改变区分开来非常重要。复发的风险和类型受多种因素影响，包括术前肿瘤分期、组织学类型和手术切除类型。接受治疗的患者有发生第二原发性肺癌的风险，据报道每年为 1-4%，因此随访必须旨在不仅检测复发癌症，而且还检测新的原发性肺癌。已经提出了不同的随访成像策略，包括常规 X 线摄影、CT 和/或 PET 扫描。
