肺癌CT普查_基础扫描和7年随访.pdfVIP

12 China JM IT Jan 2002 Vol 18 No 1 CT : 7 柳学国, 谈 高, 王 颖, 李占军, 王 坚, 张翠运, 何燕丽 ( , 519000) [ ] CT CT , CT 2430 10020 CT , 1994 2001 25 ; I 12 , II 6 , III 7 ; CT 89 , 19 , 1~ 2 , 4 ; 1995 1999 , 2000 1 ; 1994 , 2001 1 ; 3 , 1 ; 2 60 CT , 50~ 69 CT , , HRCT Spiral CT CT , [ ] ; ; , X [ ] R445. 3; R734. 2 [ ] A [ ] 1003- 3289( 2002) 01- 0012- 03 CT Screening for Lung Cancer: Baseline and 7 Years Follow-up LI UX ue-guo, TAN Gao, WANG Ying, et al (Dep artment of Radiology, The 5th Aff iliated ospital of Zhongshan University, Zhuhai 519000, China) [Abstract] Purpose T o e aluate the effects of lung cancer CT screening on detection, staging and prognosis of lung cancer. Met ods Obser e the lung cancer frequencies and staging in different groups such as age, sex , smoking. Compare the prognosis and e aluate the meaning of long-term CT follow-up. Results W ith 2430 persons in baseline lung cancer CT screening and 10020 person-time in repeat CT screening e ery 2 years, 25 cases of lung cancer were found from 1994 to 200 1. Eighty nine cases of non- calcified nodules w ere found. Ninety cases w ere diagnosed as lung cancer at the first CT screening, 4 cases showed growth after 1 - 2 year CT follow-up confirmed to be lung cancer. One case w as normal in 1994 CT screening , but stage II lung cancer in 2000 CT screening . One case of lung cancer was misdiagnosed in 1994 as benign nodule, operat ing in 200 1 with same side lung metastasis. Newly seen nodule w as confirmed to be tuberculosis in 3 cases, cryptococcus granuloma in 1 case on repeat CT screening . Another 2 cases w ith nodule growth were confirmed to be reacti e tuberculoma. Sixty cases of nodules were stable for 6 - 7 years. Co