弥漫型细支气管肺泡癌的CT表现

Findings of diffuse bronchioalveolar carcinoma on CT

  • 摘要: 目的 探讨弥漫型细支气管肺泡癌(DBAC)的CT表现。方法 回顾性分析2006-2008年我院经病理证实的17例DBAC的CT表现。结果 以实变为主型10例,其中6例见"蜂窝"或网格影,2例见叶间裂膨隆,8例见充气支气管征,5例合并多发结节和(或)磨玻璃密度影,4例行增强扫描均可在实变区内见"血管造影征"。多发结节/肿块型5例,其中单叶单段1例,单叶多段2例,多叶多段2例;主要特征有胸膜牵拉、磨玻璃密度、充气支气管征及空泡征。磨玻璃密度影2例,其中"铺路石"征1例。大多数患者呈多种征象混合表现。结论 弥漫型细支气管肺泡癌的CT征象复杂,应深入细致分析各种征象提高本病的诊断正确率。

     

    Abstract: Objective To investigate the findings in diffuse bronchioalveolar carcinomas (DBAC) on CT. Methods Findings in 17 patients with DBAC on CT verified by pathology in Chinese PLA General Hospital during 2006-2008 were retrospectively analyzed. Results Honeycomb or reticular sign, bulging of interlobar fissure, air bronchogram, multiple nodules and/or ground glass opacity, and angiogram sign were found in 6, 2, 8, 5, and 4 of the 10 patients mainly manifested as consolidation, respectively. A single lobe segment, 2 single lobe segments, and multiple lobe segments were observed in 1, 2, and 2 of the 5 patients with multiple nodules and/or ground glass opacity, respectively. The patients with DBAC were characterized mainly by pleural traction, ground glass opacity, air bronchogram and bubble like sign. One of the 2 patients with ground glass opacity showed a crazy paving pattern. Most DBAC displayed combined CT findings. Conclusion Findings in DBAC on CT are complicated and should be intensively investigated for the diagnosis of DBAC.

     

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