弥漫性细支气管肺泡癌临床及影像学分析（Clinical and imaging analysis of diffuse bronchioloalveolar carcinoma）.docVIP

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弥漫性细支气管肺泡癌临床及影像学分析（Clinical and imaging analysis of diffuse bronchioloalveolar carcinoma）.doc

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弥漫性细支气管肺泡癌临床及影像学分析（Clinical and imaging analysis of diffuse bronchioloalveolar carcinoma）

弥漫性细支气管肺泡癌临床及影像学分析（Clinical and imaging analysis of diffuse bronchioloalveolar carcinoma） Clinical and imaging analysis of diffuse bronchioloalveolar carcinoma Update Date: 2011-03-22, Feng Yuanchun, Zhou Wei, Zhang Shuxiang Bronchioloalveolar carcinoma (BAC) is a specific type of primary bronchogenic carcinoma of the lung. It belongs to a subtype of adenocarcinoma in the WHO classification and accounts for about 2% to 21% [1,2] of the primary lung tumors. Because of the lack of typical clinical symptoms and imaging findings, it is easy to be misdiagnosed, especially in diffuse bronchioloalveolar carcinoma (DBAC), and the misdiagnosis rate is higher. The clinical and imaging features of 13 cases of diffuse bronchioloalveolar carcinoma in our hospital in recent years were analyzed, and the causes of misdiagnosis and differential diagnosis were discussed. 1 clinical information 1.1 general data of 13 cases of diffuse bronchioloalveolar carcinoma diagnosed by pathology, including 8 males and 5 females, aged 28~77 years, average 50 years old, 40 years old and over 9, accounting for 69.2%. Among them, 6 cases were confirmed by lymph node biopsy, 6 cases of adenocarcinoma cells, 2 cases of pleural effusion or pleural effusion, 1 cases of adenocarcinoma cells, and bronchoalveolar lavage. 1.2 clinical manifestations were cough and white foam sputum in 9 cases (69.2%), of which 1 cases had daily sputum volume of 500ml, sputum blood in 2 cases (15.4%), dyspnea in 8 cases (61.5%), fever in 1 cases (7.7%). 10 cases (77%) had enlarged lymph nodes on neck or clavicle. 1.3 transfer the whole group of 13 cases in 11 cases, accounting for 84.7%, of which 9 cases with supraclavicular lymph node metastases (69.2%), pleural metastasis in 2 cases (15.4%), pericardial metastasis in 1 cases (7.7%), mediastinal lymph node metastasis in 1 cases (7.7%), 1 cases of cervical lymph node metastasis (7.7%). 1.4 imaging data in 13 cases, chest X-ray and chest CT showed diffuse lesions of both lung