Biriukov Iu V, Dobrovol'skiĭ S R, Shekhter Iu I, Iudin A L, Perova L A
Grud Serdechnososudistaia Khir. 1990(5):41-4.
From analysis of the results of scrupulous examination of 66 patients with pathological shadows up to 3 cm in diameter found in the lungs during X-ray examination the authors established that peripheral carcinoma of the lung accounts for 65.2% of all asymptomatic accidentally revealed structures in the lungs. Computerized tomography is a valuable method of differential diagnosis of small spherical shadows in the lungs, which also makes it possible to determine the spread of the disease during a single examination of the patient. The method of fine-needle aspiration biopsy under control of computerized tomography with subsequent cytological examination of the aspired material is simple, relatively safe, and highly informative in peripheral carcinoma of the lung. The method is of less diagnostic value in cases with benign structures in the lungs.
通过对66例在X线检查时发现肺部有直径达3厘米病理性阴影患者的详细检查结果进行分析，作者确定，在所有肺部偶然发现的无症状结构中，周围型肺癌占65.2%。计算机断层扫描是肺部小球形阴影鉴别诊断的一种有价值的方法，它还能在对患者进行单次检查时确定疾病的扩散情况。在计算机断层扫描控制下进行细针穿刺活检并随后对抽吸物进行细胞学检查的方法，对于周围型肺癌来说简单、相对安全且信息量大。该方法在肺部有良性结构的病例中诊断价值较小。
