肺内局限性磨玻璃影 课件.pptVIP

局限性磨玻璃影（focal ground-glass opacity，fGGO）;概念;分类;肺磨玻璃密度应满足的条件;病理;fGGO的常见病变;fGGO的测量方法;fGGO的三维重组征象与病理对照;fGGO的CT表现; 图1 左上肺0.6cm及0.9cm结节、圆形、纯磨砂玻璃密度结节，轮廓清楚、边缘未见明显分叶、毛刺，手术病理均为AAH 图2 右下肺1.3cm及左上肺1.1cm结节、圆形、轮廓清楚、纯磨砂玻璃密度结节，内仅见稍增粗血管影，手术病理均为BAC; 图3 右肺2.3cm及1.1cm结节，圆形，混杂磨砂玻璃密度结节，边缘见毛刺和胸膜凹陷征：手术病理均为肺腺癌 图4 左肺2cm及1cm斑片状磨玻璃密度影，边缘模糊，2周后复查明显吸收，证实为炎性病变;细支气管肺泡癌;腺 癌;炎性病灶; 近来国外学者提出GGO病灶周围的纤维化是由动静脉瘘长期的慢性充血所致的，在薄层CT上表现为周围扩张的血管和增厚的小叶间隔，出现此征象可能对GGO的诊断提供线索。 CONCLUSION:We speculate that the focal fibrosis was produced by a prolonged congestion due to the AVF and that the dilated vessels and thickening of interlobular septa on thin-section CT related to the AVF. Microscopic AVF may be one of the etiologies of focal fibrosis showing focal GGO on thins-section CT. Dilated vessels and thickened interlobular septa around the GGO might offer a clue to the diagnosis of this disease entity. （Sudo et al. BMC Pulmonary Medicine 2013,13；3）;总结;随 访;;;Thank you！