肺癌肝转移瘤二维超声表现与组织病理类型的相关性研究

Relationship between Two-Dimensional Ultrasound Performance and Pathological Types in Liver Metastases from Lung Cancer

目的:探讨肺癌肝转移瘤的二维超声表现与组织病理类型的相关性。方法:回顾分析102例肺癌肝转移患者的临床资料,并分析肺癌肝转移瘤的不同病理分型与二维超声图像特性之间的相关性。结果:102例肺癌肝转移瘤中,小细胞癌24例,鳞癌16例,腺癌55例,腺鳞癌5例,大细胞癌1例,腺样囊性癌1例。小细胞癌、鳞癌、腺癌、腺鳞癌肝转移瘤的回声强度不同,组间比较差异有统计学意义(P=0.0169)。小细胞癌以低回声多见,占52.6%;高回声占26.3%。鳞癌以高回声多见,占84.6%;低回声占7.7%。腺癌低回声占31.9%,高回声占38.3%。腺鳞癌以高回声多见,占75.0%;低回声占25.0%。结论:肺癌肝转移瘤的二维超声表现与其病理组织类型有一定的相关性。

Objective：To study the relationship between two-dimensional ultrasound performance and pathological types in liver metas- tases from lung cancer. Methods：The clinical data of 102 lung cancer patients who had liver metastases were analyzed retrospectively. Results： Among the 102 cases,24 were small-cell carcinoma, 16 were squamous cell carcinoma,55 were adenocarcinoma,5 were largecell carcinoma and 1 was adenoid cystic carcinoma. 52.6% of the small-cell carcinoma cases showed a low echo pattern and 26. 3% of them showed a high echo pattern. 84. 6% of the patients with squamous cell carcinoma showed a high echo pattern and 7.7% of them showed a low echo pattern. 31.9% of the adenocarcinoma cases showed a low echo pattern and 38.3% of them showed a high echo pat- tern. 75 % of the adenoid cystic carcinoma cases showed a high echo pattern and 25% of them showed a low echo pattern. Conclusions： Two-dimensional ultrasound performance is related with pathological types in patients with liver metastases from lung cancer.