肺结核单发厚壁空洞CT误诊为周围型肺癌空洞原因分析_李邦国.pdfVIP

DOI :10.13929/j.1003 -3289.2009.08.065 2009 25 8　Chin J M ed Imaging Technol, 2009, Vol 25, No 8 ·1387 · 　 Analysis of single pulmonary tuberculous thick-walled cavity misdiagnosed as peripheral lung cancer cavity on CT 1 2 ＊ 1 1 1 1 1 L I B ang -g uo , MA Da -qing , L I U Ye , HA N Hong , GUA N J ing , LUO K e-j in , X I A N Z heng -y uan (1.D ep artm en t o R ad iology , the F irst A iliated H osp ital o Z uny i M ed ical Colleg e, Z uny i 563003, China;2.Dep artm en t o R ad iology , B eij ing F riendsh ip H osp ital, Cap ital Med ical Un iversity , B eij ing 100050, Ch ina ) [Abstract]　Objective　To analyze single pulmonary tuberculous thick-walled cavity misdiagnosed as peripheral lung cancer cavity on CT.Methods　Clinical data and CT findings of 16 patients with single pulmonary tuberculous thick-walled cavity proven pathologically were retrospectively analyzed.Results　 mong 16 patients, 11were over 40 years old.Diameter of the cavities in 8 patients was 2—4 cm, while thickness of the cavitary walls in 9 patients was 5—15 mm.The sublobe and spic- ule sign of outer margin of cavity were found in 10 patients, uneven inner wall in 6 patients, with mediastinal and pulmonary hilar lymph nodes enlargement in 6 patients, pleural effusion in 5, pericardial effusion in 3 and destruction of thoracic skele- ton in one patient.Ten patients underwent contrast-enhanced CT scan, and the differences of CT values before and after con- trast injection were more than 26 HU in 3 patients.Conclusion　The main cause of misdiagnosis lies on overemphasizing the common CT characteristics of peripheral lung cancer cavities.Reasonable and consummate CT