Quaia E, Baratella E, Pizzolato R, Bussani R, Cova M A
Unità Clinica Operativa di Radiologia, Ospedale di Cattinara, Università di Trieste, Strada di Fiume 447, 34149, Trieste, Italy.
Radiol Med. 2009 Mar;114(2):173-89. doi: 10.1007/s11547-008-0354-6. Epub 2008 Dec 11.
The aim of this paper is to describe the intratumoural tissue components of solid lung tumours evidenced by macroscopic and/or microscopic examination of the autopsy or surgical specimen and visible on computed tomography (CT) without and with contrast material administration. Seven intratumoural tissue components can be identified both at CT and at pathology: (1) solid component, (2) haemorrhagic component, (3) coagulation necrosis, (4) liquefaction necrosis, (5) parenchymal consolidation, (6) diffuse peripheral component and (7) fibrotic component. Necrotic and haemorrhagic components are typically observed in malignant lesions, whereas solid and fibrotic components may be seen both in solid lung malignancies and in benign lesions.
本文旨在描述实体肺肿瘤的瘤内组织成分,这些成分可通过尸检或手术标本的宏观和/或微观检查得以证实,并且在使用和未使用对比剂的计算机断层扫描(CT)上均可显示。在CT和病理学检查中均可识别出七种瘤内组织成分:(1)实性成分,(2)出血性成分,(3)凝固性坏死,(4)液化性坏死,(5)实质实变,(6)弥漫性周边成分和(7)纤维化成分。坏死和出血性成分通常在恶性病变中观察到,而实性和纤维化成分在实体肺恶性肿瘤和良性病变中均可出现。