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[肺部囊性和空洞性病变:影像学特征与鉴别诊断]

[Cystic and cavitary lesions of the lung: imaging characteristics and differential diagnosis].

作者信息

Abi Khalil S, Gourdier A L, Aoun N, Nedelcu C, El Rai S, Moubarak E, Sfeir S, Willoteaux S, Aubé C

机构信息

CHU d'Angers, Département de Radiologie, 49933 Angers cedex 09.

出版信息

J Radiol. 2010 Apr;91(4):465-73. doi: 10.1016/s0221-0363(10)70061-5.

Abstract

Gas containing lesions of the lung can be differentiated into cystic and cavitary lesions based on their imaging characteristics, which is helpful for differential diagnosis. The imaging features include number, size, thickness and smoothness of the walls, content, lesion distribution and occasional associated lesions. Some imaging features have characteristic diagnostic implications: mural nodule and meniscus sign. Cysts are characterized by thin and regular walls, less than 2 mm in thickness. The differential diagnosis includes: histiocytosis X, lymphangioleiomyomatosis, cystic metastases, septic emboli, pulmonary sequestration. Emphysema, honeycombing and cystic bronchiectases should also be considered. Cavitary lesion have thicker walls. The most frequent etiologies include abscess, cavitary tumors, mycobacterial infections and fungal infections.

摘要

肺部含气性病变可根据其影像学特征分为囊性和空洞性病变,这有助于鉴别诊断。影像学特征包括数量、大小、壁的厚度和光滑度、内容物、病变分布以及偶尔出现的相关病变。一些影像学特征具有特征性诊断意义:壁结节和新月征。囊肿的特征是壁薄且规则,厚度小于2mm。鉴别诊断包括:组织细胞增多症X、淋巴管平滑肌瘤病、囊性转移瘤、脓毒性栓子、肺隔离症。还应考虑肺气肿、蜂窝肺和囊性支气管扩张。空洞性病变的壁较厚。最常见的病因包括脓肿、空洞性肿瘤、分枝杆菌感染和真菌感染。

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