肺癌的CT征象与其病理基本.ppt

* 肺癌的 CT征象及其病理基础 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺癌的病理组织类型 鳞状细胞癌 小细胞癌：燕麦细胞癌、中间细胞类型、 混合燕麦细胞癌 腺 癌：腺泡样腺癌、乳头样腺癌、细 支气管肺泡癌、黏液样实性癌 大细胞癌：变形巨细胞癌、透明细胞癌 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺癌的大体病理类型 中央型肺癌：发生于段以上 周围型肺癌：发生于段及以下 弥漫型肺癌：一般为细支气管肺泡癌 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 中央型肺癌 主要为鳞状细胞癌、小细胞癌、大细胞癌、 以及部分腺癌 分：管内型、管壁型、管外型 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 中央型肺癌的主要表现 1 肺气肿－－最早的征象之一 2 肺不张 3 粘液嵌塞征－－表现为粗大树枝样 阴影，尖端指向肺门 4 阻塞性肺炎 5 肺门区及纵隔肿块 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 周围型肺癌 见于各种组织类型 大体病理形态为肺内结节或肿块 早期周围型肺癌指瘤体直径为2CM或以下，并且无转移 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 分叶征（lobulation) 肿瘤边缘较为明显的凹凸不平的多个弧形表现 以分叶部分的弧度为标准： 弦距/弦长2/5为深分叶 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 分叶征 与肿瘤细胞分化程度不一，各部位生长速度不同有关 在支气管、血管进出肿瘤及胸膜陷入部位可形成明显凹陷、分叶 CT检查的发生率为80% Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 棘状突起（spiculate protuberance) 介于分叶和毛刺之间的一种较粗大 而钝的“杵状”结构 有肺癌细胞的浸润 Evaluation only. Created with Aspose.Slides for .NE