多结节型细支气管肺泡癌影像诊断及误诊-实用放射学杂志.PDFVIP

230 2004 3 20 3 J Pract adiol, Mar 2004,Vol 20, No.3 1 2 1 王保宏,冯广森 ,智 皎 ( 1 , 462000; 2 ) : ( BAC), BAC 33 , 20 , 13, 34~ 76 ,54. 2X 2 ,CT 30 ,GE 9800 Quick , : , ,, 72. 7%, , 69. 7% X 75.8%, 72. 0%CT 36.4% , BAC ,, , , :; ;X ; ,X : 734.2; 814.42 :A : 1002- 1671(2004)03- 0230- 04 Imaging Diagnosis and Misdiagnosis of Multi- nodular Bronchioalveolar Carcinoma WANG Bao - hong , FENG Guang - sen, ZHI Jiao (Dep artment fo Radiolog , Luohe No. 2 Peop le s Hosp ital , Luohe 462000, Henan Province, China) Abstract:Objective To study the imaging features and the reason of misdiagnosis ofmulti- nodular bronchioalveolar carcinoma( BAC) .Meth ods 33 cases with the BAC proved by pathology,were reviewed, including 20males and 13females,the age ranged from 34~ 76 years with an aver age age of 54.2 years.X- ray therewere over twice X- ray filmes in all cases,and CT scanswith GE 9800 Quick were performed in 30 cases . The imaging features were analysed . Results Imaging findings : Miliary noduli were inhomogeneous in distribution, size and density.The large noduli generally located at the periphery of lung or under the pleura and noduliwere focusedtogether, vacuole sign! was present in 72.7% cases and the noduliwere around the vacuole,and lobulated.69.7% of nodulefocuses were in company with consolidatory shade . The rate of X- ray misdiagnosis was 75.8%, in which 72. 0% were misdiagnosed asTB . CT misdiagnostic ratewas 36.4% .The misdiagnostic reasonswere unsufficient in consid eration of clinical symptom and imaging findings. Conclusion The BAC isthe developmental