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犬原发性肺肿瘤的计算机断层扫描表现

Computed tomographic appearance of primary lung tumors in dogs.

作者信息

Marolf Angela J, Gibbons Debra S, Podell Brendan K, Park Richard D

机构信息

Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO 80523, USA.

出版信息

Vet Radiol Ultrasound. 2011 Mar-Apr;52(2):168-72. doi: 10.1111/j.1740-8261.2010.01759.x. Epub 2010 Nov 2.

Abstract

Canine primary lung tumors typically appear radiographically as a well-circumscribed solitary mass in the periphery of a caudal lung lobe. Consolidated and diffuse forms of primary lung tumors have also been described. Nineteen dogs with computed tomographic (CT) images of the thorax and a histological diagnosis of primary lung tumor (17 primary carcinomas and two primary sarcomas) were evaluated retrospectively to characterize the CT findings. All primary lung tumors were bronchocentric in origin with internal air bronchograms. The bronchi were typically narrowed, displaced, and often obstructed by the tumor. Eighteen of 19 (95%) of the tumors were solitary and there was one pneumonic/alveolar form. Most solitary tumors were well circumscribed (17/18), located in the central to periphery of the lung (14/18), and in a cranial or caudal lobe (16/19). Most primary lung tumors (11/17) had mild to moderate heterogeneous contrast enhancement. Five of 19 dogs (26%) had evidence of pulmonary metastasis. Internal mineralization (3/19) and tracheobronchial lymphadenopathy (4/19) were also identified. On CT examination, solitary, well circumscribed, bronchocentric masses with internal air bronchograms are consistent with a primary pulmonary tumor in dogs.

摘要

犬原发性肺肿瘤在影像学上通常表现为肺尾叶周边界限清晰的孤立性肿块。原发性肺肿瘤的实变和弥漫形式也有相关描述。对19只具有胸部计算机断层扫描(CT)图像且经组织学诊断为原发性肺肿瘤(17例原发性癌和2例原发性肉瘤)的犬进行回顾性评估,以明确CT表现特征。所有原发性肺肿瘤均起源于支气管中心,内部可见空气支气管征。支气管通常变窄、移位,且常被肿瘤阻塞。19只犬中有18只(95%)的肿瘤为孤立性,有1只为肺炎/肺泡型。大多数孤立性肿瘤界限清晰(17/18),位于肺的中央至周边(14/18),且位于头叶或尾叶(16/19)。大多数原发性肺肿瘤(11/17)有轻度至中度不均匀强化。19只犬中有5只(26%)有肺转移的证据。还发现有内部矿化(3/19)和气管支气管淋巴结病(4/19)。在CT检查中,具有内部空气支气管征的孤立性、界限清晰的支气管中心性肿块与犬原发性肺肿瘤相符。

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