成人肺结核与肺癌的CT特点性表现及影像辨别赣州市人平易近病院CT室(国外英语资料).doc

成人肺结核与肺癌的CT特征性表现及影像鉴别赣州市人民医院CT室(国外英语资料) Room CT features and image identification CT of Ganzhou Peoples Hospital of adult pulmonary tuberculosis and lung cancer?? Lei Jian adult pulmonary tuberculosis and lung cancer is the two most common diseases of the lungs, have the same clinical symptoms such as cough, hemoptysis, images often appear different diseases with the same image, both easy to misdiagnosis, misdiagnosis rate even up to 60%, therefore to improve the understanding of pulmonary tuberculosis and lung cancer CT characteristics, help to improve the diagnosis and differential diagnosis of the two diseases ability. ?? The pathological basis of CT features of pulmonary tuberculosis in adult pulmonary tuberculosis is a chronic process with exudation, caseous necrosis, fibrosis and calcification as characteristic, pathological classification, exudation proliferation, cheese, empty four period, therefore, CT imaging features and the four stages of the relevant pathological basis. CT in the diagnosis of pulmonary tuberculosis, summed up the more than 3 and three little characteristics, namely tuberculosis multifocality, polymorphism, calcification, less mass and less nodules gather and less enhanced. 1?, multifocal: multifocal pulmonary tuberculosis is often manifested in the above leaves, the rest of the lobar and segmental also appeared punctate and fine nodular, strip shadow, this is because the cheese substances into the bronchi cause bronchial disseminated by what caused by pleural effusion, pleural thickening and adhesion. ? 2, polymorphism: at the same time CT on the different period of evolution forms: exudative lesions showed foggy, cotton wool; the proliferation of lesions showed nodular fibrosis; the performance of rope; the performance of caseous necrosis cavity; the table for the point like or calcified plaque compact (CT 100Hu); the disseminated lesions showed miliary nodular or fine. ? 3, calcified: calcification is one of the common pathological o