Glazer H S, Duncan-Meyer J, Aronberg D J, Moran J F, Levitt R G, Sagel S S
Radiology. 1985 Oct;157(1):191-4. doi: 10.1148/radiology.157.1.4034965.
CT scans of 47 patients who had peripheral bronchogenic carcinoma contiguous to the pleural surface and who had undergone thoracotomy were retrospectively reviewed. The CT features of the primary neoplasm that were analyzed included the angle and amount of contact with the adjacent pleural surface, associated pleural thickening, fat plane between the tumor and chest wall, rib destruction, and chest wall mass. CT was of limited predictive value in separating those patients who had parietal pleural/chest wall involvement from those who did not. The combination of two or three CT findings (obtuse angle, greater than 3 cm contact with pleural surface, associated pleural thickening) resulted in a sensitivity of 87% and a specificity of 59%. The clinical symptom of focal chest pain, while not as sensitive (67%) as CT, was much more specific (94%) for parietal pleura/chest wall invasion.
对47例患有与胸膜表面相邻的周围型支气管肺癌且接受过开胸手术的患者的CT扫描进行了回顾性分析。分析的原发性肿瘤的CT特征包括与相邻胸膜表面的夹角和接触范围、相关的胸膜增厚、肿瘤与胸壁之间的脂肪平面、肋骨破坏以及胸壁肿块。在区分有壁层胸膜/胸壁受累的患者和未受累的患者方面，CT的预测价值有限。两项或三项CT表现（钝角、与胸膜表面接触大于3 cm、相关的胸膜增厚）相结合，敏感性为87%，特异性为59%。局部胸痛的临床症状虽然不如CT敏感（67%），但对壁层胸膜/胸壁侵犯的特异性要高得多（94%）。
