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[40岁以下患者胸部占位性病变的CT形态学与临床诊断]

[CT morphology and clinical diagnosis of thoracic space-occupying lesions in patients under 40 years of age].

作者信息

Beyer-Enke S A, Görich J, van Kaick G, Vogt-Moykopf I

机构信息

Institut für Radiologie und Pathophysiologie, DKFZ, Heidelberg.

出版信息

Rofo. 1989 Jun;150(6):674-9. doi: 10.1055/s-2008-1047099.

Abstract

83 patients with thoracic masses and aged under 40 years, who had been seen in a chest clinic, were examined by CT. They were classified according to their diagnosis and typical CT findings were analysed. Bronchial carcinomas showed predominantly radial extensions and air trapping. Malignant lymphomas and benign tumours usually showed smooth outlines and evidence of some fat content. Malignant mediastinal or neurogenic tumours frequently contained liquid portions and calcification. The CT diagnosis of lymphomas (seven cases), metastases (28 cases) and benign tumours (13 cases) presented no problems in view of the typical appearance and position of the tumours; classification of malignant mediastinal or neurogenic tumours (seven cases) was difficult. Inflammatory masses (14 cases) and bronchial carcinomas (14 cases) showed similar CT appearances.

摘要

83例年龄在40岁以下、曾在胸部门诊就诊的胸部肿块患者接受了CT检查。根据诊断结果对他们进行分类,并分析典型的CT表现。支气管癌主要表现为放射状延伸和空气潴留。恶性淋巴瘤和良性肿瘤通常轮廓光滑,有一些脂肪成分的迹象。恶性纵隔肿瘤或神经源性肿瘤常含有液体成分和钙化。鉴于肿瘤的典型表现和位置,淋巴瘤(7例)、转移瘤(28例)和良性肿瘤(13例)的CT诊断没有问题;恶性纵隔肿瘤或神经源性肿瘤(7例)的分类困难。炎性肿块(14例)和支气管癌(14例)表现出相似的CT表现。

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