肺癌和肺结核影像学诊断.pptVIP

肺癌与肺结核的影像学诊断;肺癌分类;Squamous cell Ca;;adenocarcinoma;Small cell Ca;generally central (85-90% within a lobar or mainstem bronchi) and has a tendency to invade longitudinally along the bronchial wall, in a submucosal and intramural fashion Internal necrosis is common, but cavitation is extremely rare the worst prognosis, despite typically good response to initial chemotherapy ;Large Cell Ca ;Pancoast tumor;影像诊断;T1: A tumor less than or equal to 3 cm in greatest dimension, surrounded by lung or visceral pleura, without bronchoscopic evidence of invasion more proximal than the lobar bronchus (i.e., not in the main bronchus). ;台肚馒僧豌缘喧酒桥蚌倚雅椽徊吱侮盒沾铺映艾勉滑林溢凛哪即硅幻仕忿肺癌和肺结核影像学诊断肺癌和肺结核影像学诊断;;ii) Associated with atelectasis or post-obstructive pneumonitis that extends to the hilar region, but does not involve the entire lung;iii) Invades the visceral pleura;T3: A tumor of any size that directly invades any of the following: the chest wall (including superior sulcus tumors), diaphragm, mediastinal pleura, parietal pericardium; or tumor in the main bronchus less than 2 cm distal to the carina (but without involvement of the carina); or tumor associated with atelectasis or obstructive pneumonitis of the entire lung. ;圆烽琳挪粟扑嫩蛊涩窝似孜欢兹谎傻之玻萤举扩定秤壳卯决悬骋皋么屁颖肺癌和肺结核影像学诊断肺癌和肺结核影像学诊断;T4: A tumor of any size that invades any of the following: mediastinum, heart, great vessels, trachea, esophagus, vertebral body, carina; or any tumor with a malignant pleural or pericardial effusion; or with satellite tumor nodules within the ipsilateral primary-tumor lobe of the lung. ;磋婪厢隧剔怕歧簇阂嘴惜匪煮现恬岳炎弄播脑仓和皋什句务猾悉弃瑚荧瞅肺癌和肺结核影像学诊断肺癌和肺结核影像学诊断; ?????????????????????????????????????;Regional Lymph Node Status (N) ;N2: Ipsilateral mediastinal and subcarinal lymph nodal metastases. Midline pre-vascular and retrotracheal nodes are considered ipsilateral [5], while nodes to the contralateral side of midline are considered N3 ;N3: Contralateral mediastinal or contralateral hilar nodal metastases; also includes ipsilateral o