MSCT对肺部持续存在的局限性磨玻璃密度影诊断价值.pdfVIP

中国医学影像绞* 2008 年第 2.q拂 7 M Chín J Med lmagíng Technol ,2008 , Vol 24.No 7 • 1021 .. ·:·胸部影像学 Diagnostic value of MSCT on persistence pulmonary focal ground-唰glass opacity GAO Jian-hua 1 * , ZHAOXiang-sheng 1 , ZHANGCha伊tong Z ， TANG Yun-cheng1 , ZHANGR时，ρing l (1. De阳rtmmt 01 Radíology. 伽 Síx Af filiated Hospital 01 J inan University. J iangmen 529031 , Chína , 2. Department of Radiology. Gωngdong J íangmen Central HosPiω . J iangmen 529031 ， αína) [Abstraet] Objecti-.e To study the value of M配T by analyzing the histological and radiological characteristics of pulmona- ry fGGO. Metbω旭 Thirty cases with pulmonary fGGO which were ~20 mm in size were detected with MSCT in three and an half y倒孔 In the 23 patients with persistence of pulmonary fGGO after following叮p for a period of 1. 5一2 months. 17 也w ses performed histopathology diagnosis with lung biopsy by thoracoscopy or lobectomy, 2 cases were confirmed with blood 侃侃. 4 cases were still following up. Kes时15 The histological diagnoses of these 17 cases included bronchioloalveolar carci- noma (BAC) (n=的， adenocarcinoma (n苟的. atypical adenomatous hyperplasÎa (AAH) (n = 1) and focal organize pneu- monía (n=2). The anti协dy of Chlamydia and mycoplasma of 2ωses were positive (n且幻， the totaI 14 malignant lesions , 13 fGGO ~10 mm in size (13/14). the proportion of the ground幽glass opacity25% in 10 fGGO (10/14). One case with the proportion of the ground嗣glass opacity 25 % had metastases. The rate of malignancy and prognosis were highly correla- tOO with the size and radiological characteristics of fl臼主O. Conel皿sÎOD Persistent pulmonary fGGO was an CT indicator of 创rly adenocarcinoma or pre-malignant lesion. MSCT is useful for ωrly diagnosis and trωtment guidance o{ fGGO. [Keyw创由] Tomography , X-rayωmputed ， Lung nωplaSIßS F-ωal ground-glass opacity MSCT 对肺部持续存在的局限性 磨玻璃密度影诊断价值 高建华1\赵相胜l ，张朝桐2 ，唐远成1 ，张瑞乎1 O. 暨南大学医学院第六附属院院放射科，广东江门 529031 , 2. 江门市中心医院放射科，广东辄门 529031) [摘 要] 园的 通过对肺部将续存在的周限性磨玻璃密度影( fl∞0)的影像病理分析，探讨 M缸