No.4.2 七年制临床- 呼吸常见病2幻灯片.pptVIP

Imaging Diagnosis of Rspirotary Diseasepart 2AiPing Chen Lung neoplasm肺肿瘤 The incidence of primary lung carcinoma is increasing in all over the world. Most malignent lung tumors (over 98%) are bronchiogenic carcinoma 支气管肺癌. Lung neoplasm肺肿瘤 Benign:良性 harmatoma, adenoma, angioma, fibroma 错构瘤，腺瘤，血管瘤，纤维瘤 malignancy:恶性 primary：lung carcinoma 肺癌，sarcoma 肉瘤 Secondary：metastasis转移瘤 harmatoma uncommon asymptomatic; symptoms typically are present with central endobronchial lesions， include hemoptysis, recurrent pneumonia, and dyspnea. harmatoma typically round, well-marginated peripheral masses smaller than 4cm (range, 1 to 30cm). typical pattern ： ‘popcorn’ calcification爆米花样的钙化 Calcification钙化 probably is present in less than 5% of lesions, Fat 脂肪can be detected by CT (attenuation ,-40 to -120 HU) in up to 50% of cases and is a diagnostic feature. primary bronchogenic carcinoma原发性支气管肺癌 most common malignancy risk factor ： cigarette smoking Environmental and occupational exposure （3% to 17%） Interstitial pulmonary fibrosis and focal scarring have been reported to increase the risk for bronchial carcinoma. Lung neoplasm Lung carcinoma(cancer) SCLC(small cell lung cancer) 小细胞肺癌 NSCLC(non-small cell lung cncer）非小细胞肺癌 squamous cell carcinoma 鳞癌 Adenocarcinoma 腺癌 Large Cell Carcinoma大细胞癌 compound carcinoma 混合癌 bronchioloavelar carcinoma BAC细支气管肺泡癌 Lung neoplasm SCLC(small cell lung cancer) Small cell carcinoma is a rapidly growing tumor that has the most irrefutable association with smoking. Like squamous cell carcinoma, it is predominantly a central tumor (90%), but growth is mainly along anatomic tissue planes. metastasizes early; systemic spread is present in two-thirds of cases at presentation. 生长迅速，中央型，转移早，全身 Lung neoplasm NSCLC(non-small cell lung cncer) squmous cell carcinoma is most commonly a central tumor developing at the level of the segmental and subsegmental bronchi in 66% of cases. These tumors are frequently lobulated and have a tendency to cavi