Shulutko M L, Vinner M G, Grinberg L M, Mazur G I
Vestn Rentgenol Radiol. 1990 Jul-Aug(4):42-8.
The paper is concerned with the description of clinical, x-ray and morphological investigation of 123 bronchoalveolar cancer patients. Three types of this disease were defined: nodular (homogeneous and nonhomogeneous), pneumonia-like (infiltrative and infiltrative-nodular) and mixed (focal-disseminated, focal-nodular and focal-infiltrative). These types of bronchoalveolar cancer are most probably stages of the same tumor process. Clinical and x-ray signs of each type showed correlation with a morphological picture of a tumor. Shadow nonhomogeneity as one of the main x-ray signs of bronchoalveolar cancer was shown to be determined by the "alveolar" structure of a tumor, a tendency to the formation of small cavities, filled with viscous mucosa and air. Correct clinical and x-ray diagnosis in all types of bronchoalveolar cancer (before the use of the morphological methods) was established in 45.5% of the patients.
本文涉及对123例细支气管肺泡癌患者的临床、X线及形态学研究描述。该疾病分为三种类型:结节型(均匀和不均匀)、肺炎型(浸润性和浸润结节性)和混合型(局灶播散性、局灶结节性和局灶浸润性)。这些类型的细支气管肺泡癌很可能是同一肿瘤进程的不同阶段。每种类型的临床和X线征象与肿瘤的形态学表现相关。作为细支气管肺泡癌主要X线征象之一的阴影不均匀性被证明是由肿瘤的“肺泡”结构、形成充满粘性粘膜和空气的小空洞的倾向所决定的。在所有类型的细支气管肺泡癌中(在使用形态学方法之前),45.5%的患者获得了正确的临床和X线诊断。