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[非典型周围型肺癌的X线表现——附100例分析]

[X-ray manifestations of atypical peripheral lung cancer--analysis of 100 cases].

作者信息

Ji W K

出版信息

Zhonghua Zhong Liu Za Zhi. 1985 Jul;7(4):280-2.

PMID:4085319
Abstract

The X-ray findings of 100 cases of atypical peripheral lung cancer as compared with those of their pathological specimens are reported. In the chest film, the lesions showed irregular mass shadows, flakes of infiltrations, scattered nodules, rod-like infiltrations, thickened lung markings and thin-walled cavities, etc. These atypical X-ray changes are due to the intermingling of: (1) the site (2) the growth mode (3) the histologic type. For different lesions, even if the histologic type, position and size are the same, the X-ray findings may still be atypical due to the various growth modes. In addition to the recognition of the typical X-ray features, e.g. lobation, spicula, notch, etc, sputum exfoliative cytology, fibrobronchoscopic examination, puncture biopsy of the lung must also be considered in order to ensure early diagnosis.

摘要

报告了100例非典型周围型肺癌的X线表现,并与病理标本进行了对比。在胸片上,病变表现为不规则肿块阴影、片状浸润、散在结节、条索状浸润、肺纹理增粗和薄壁空洞等。这些非典型的X线改变是由于以下因素相互交织所致:(1)部位;(2)生长方式;(3)组织学类型。对于不同的病变,即使组织学类型、位置和大小相同,由于生长方式不同,X线表现仍可能不典型。除了认识典型的X线特征,如分叶、毛刺、切迹等,还必须考虑痰脱落细胞学检查、纤维支气管镜检查、肺穿刺活检,以确保早期诊断。

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