Ji W K
Zhonghua Zhong Liu Za Zhi. 1986 Mar;8(2):122-4.
This paper reports the roentgenopathologic findings of 100 primary lung carcinomas with cavitation. It was found that formation of carcinomatous cavity was related to the histopathologic classification. The cavity could be formed in four ways: 1. Cancer tissue necrosis. 2. Abscess formation after obstructive infection. 3. Cancer infiltration around the bronchial wall leading to bronchial cancer embolus and necrosis. 4. The air-cyst-like lesion formation by check valve obstruction of cancer within the bronchial. A variety of cavity formation could result in different patterns such as: the thick walled cavity (42%), central cavity (28%), consolidation cavity (5%), thin walled cavity (7%), abscess cavity (6%) and spotted cavity (12%). The lobule, spicules or notched margins are usually observed on the outer wall of the thick walled cavity which are considered as the typical manifestation of cancer cavity. The consolidation cavity, thin walled cavity, abscess cavity or spotted cavity should be differentiated from infections, tuberculosis etc. The diagnosis can be proved by sputum examination and/or fiberbronchoscopy.
本文报道了100例原发性空洞型肺癌的X线病理表现。发现癌性空洞的形成与组织病理学分类有关。空洞可通过四种方式形成：1.癌组织坏死。2.阻塞性感染后形成脓肿。3.癌组织沿支气管壁浸润导致支气管癌栓及坏死。4.支气管内癌组织活瓣阻塞形成气囊样病变。多种空洞形成可导致不同的形态，如厚壁空洞（42%）、中央型空洞（28%）、实变型空洞（5%）、薄壁空洞（7%）、脓肿样空洞（6%）和斑片样空洞（12%）。厚壁空洞外壁常可见分叶、毛刺或切迹，被认为是癌性空洞的典型表现。实变型空洞、薄壁空洞、脓肿样空洞或斑片样空洞应与感染、结核等相鉴别。痰检和/或纤维支气管镜检查可明确诊断。
