非典型肺转移瘤的CT表现(32例报道及文献复习)

CT findings of atypical pulmonary metastases(report of 32 cases with review of literatures)

目的:分析非典型肺转移瘤的CT表现形式,以提高对本病的认识。方法:回顾性分析32例经临床、手术及病理证实有原发肿瘤、肺部出现非典型转移的病例的CT表现。结果:本组病例显示非典型肺转移瘤的CT表现:空泡或空洞样转移18例,钙化性转移9例,晕征4例,自发性气胸1例。结论:结合临床及CT征象,可对表现非典型的肺转移瘤作出正确诊断。

Objective： To analyze the CT findings of atypical pulmonary metastases for the purpose of improving CT diagnostic accuracy. Methods： The CT features of 32 cases with primary tumor and atypical pulmonary metastases confimed by clinic, operation and pathology were analysed retrospectively. Results： In these cases, vacuolar-like or with cavities in the lesions were found in 18 cases, calcification was found in 9 cases and halo sign was found in 4 cases, spontaneous pneumothorax was found in 1 case. Conclusion： Clinical information combined with special CT findings, a precise diagnosis could be made in cases of atypical pulmonary metastases.