呼的吸肺肿瘤的影像诊断(修改后).pptVIP

Thanks for your attendance欢迎光临指导 影像学教研室 江勋源 《临床医技课》之 呼吸系统的放射诊断 肺肿瘤的影像诊断 Imaging Diagnosis of Lung Tumor In today’s lesson, we are going to study Classifications of lung tumor 肺肿瘤的分类 Imaging appearance of central lung cancer 中心型肺癌的影像表现 Imaging appearance of peripheral lung cancer周围型肺癌的影像表现 Special appearances of lung cancer 肺癌的特殊表现 Imaging of metastatic lung cancer 肺转移瘤的影像表现 Classification肺肿瘤的分类 According to its origin, lung tumor can be classified as 根据肺肿瘤的起源分为： (一)Primary原发性 1 . Benign : rare 良性 少见 2. Malignant : 恶性 A. 98% are Primary lung cancer 恶性中98%是原发性支气管肺癌,简称肺癌 B. Sarcoma 2% 少数肺肉瘤 (二)Secondary : Metastatic lung cancer or lung metastasis 继发性: 转移性肺癌(肺转移癌) Primary lung cancer 肺癌 primary bronchogenic carcinoma 原发性支气管肺癌 Originated from the mucosa of the bronchi（bronchus) 起源于支气管粘膜上皮和腺体 Question:  where does the blood supply of lung cancer come from? 肺癌的血液供应来自哪里？ A review: Blood circulations of lung: 1. Functional: pulmonary artery capillary pulmonary vein 2.Nutritional: bronchial artery I see: the blood supply to Lung cancer comes from bronchial artery! A anatomical basis of interventional therapy.肺癌血供来自支气管动脉是介入治疗的基础。 Pathological classifications of lung cancer肺癌病理类型: (一)Cellular 细胞类型 1. Squamous cell carcinoma 鳞癌 2. Adenocarcinoma 腺癌 3. undifferentiated 未分化癌 (1) Small cell carcinoma 小细胞癌 (2) large cell carcinoma 大细胞癌 (large cell carcinoma belongs to Squamous cell carcinoma under electronic-microscope)