肺泡癌临床影像诊断分析(附43例报告)

Clinical Radiologic Diagnosis and Analysis of Bronchioalveolar Carcinoma

目的 :总结肺泡癌的影像学表现并进行诊断分析与探讨。方法 :收集并复习 43例肺泡癌患者的资料 ,对胸部平片、体层摄影片、CT片及组织病理学进行分析。结果 :本组病例女多于男 ,15例为双肺弥漫型 ,2 3例为孤立结节型 ,5例为肺炎型 ,以上各型中 ,有 2 7例在CT影像上可见空泡征或 /和支气管充气征。结论 :肺泡癌诊断必须强调影像学与临床结合 ,CT扫描优于平片及体层片。

Purpose:To analyse and evaluate the radiologic features of bronchialveolar carcinoma.Materials and Methods:43 Cases of bronchialveolar carcinoma were reviewed,analysing their features in chest plain radiographs、X-ray tomograms、CT and Pathology.Results:Females were more than males,in our cases,15 cases were diffuse type,23 cases were solitary nodules type,and 5 cases pneumonia type.air-bronchogram or/and air-alveologram were seen in all these types (27 cases) on CT.Conclusion:The combination of radiologic appearances and clinical menifestations is critical to establish the diagnosis of bronchioalveolar carcinoma.CT is superior to plain radiograms and X-ray tomography.