肺粘液表皮样癌的CT诊断.docVIP

肺粘液表皮样癌的CT诊断 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：肺粘液表皮样癌的CT诊断 1 文2：胸部淋巴瘤的CT诊断 6 1 资料与方法 7 2 结果 8 3 讨论 9 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 肺粘液表皮样癌的CT诊断 文1：肺粘液表皮样癌的CT诊断 ct diagnosis of mucoepidermoid carcinoma of the lung：5 cases report and literature review yin quan- hong .department of radiology ，baoying hospital of jiangsu，baoying 225800 ， china [abstract] objective to discuss the computed tomography (ct) findings of mucoepidermoid carcinoma of the lung and improve the diagnosis. methods ct images of five cases proved by pathology were studied with review of the literatures. results on ct images， 4 cases located in the right lung， multiple with elliptical shape and mass deity， no liquefaction necrosis， and showed mild to moderate enhancement. one case showed punctate calcification， two cases showed obstructive pneumonia and atelectasis， two cases with mediastinal lymph node metastases. conclusion mucoepidermoid carcinoma of the lung was seen as an endotracheal or endobronchial nodule， which was either smoothly oval or lobulated and punctate calcification be seen in some patients. some were illustrated with post obstructive pneumonia or atelectasis. mild to moderate enhancement was shown after the administration of the contrast medium. combined with clinical data， ct could be helpful to diagnose the disease。 [key words] mucoepidermoid carcinoma of the lung;computed tomography 肺粘液表皮样癌(mucoepidermoid carcinoma of the lung)的发病率极低，仅占支气管腺瘤的3%[1]，它的起源是气管、支气管粘膜下腺体的kulchitsky细胞。，且内容多为该病的临床及病理表现，至于影像学表现探讨很少。现收集5例经我院手术病理确诊的肺粘液表皮样癌，总结其ct表现，并通过文献回顾，提高对该病的认识。 资料与方法 1.一般资料 收集2001～2009年在我院接受手术治疗并经病理证实的肺粘液表皮样癌5例。其中男性3例，女性2例，年龄23～69岁，平均岁。临床表现为咳嗽、咳痰3例，其中2例伴有咯血，血量每次达300ml～500ml不等。表现为单侧胸痛伴有发热1例，体温℃～℃;无明显临床症状，偶然发现的1例。病程1天～2月，平均35天。 2.检查方法 5例患者均接受ct平扫+增强扫描，检查采用美国ge公司hispeed nxi双排螺旋ct扫描机，扫描电压120kv，管电流为120mas。扫描范围包括胸廓入口至肋膈角，先以5～10mm层厚和间距扫描，后对病变局部进行薄层扫描，增强扫描采用静脉团注方法，经内侧肘前浅静脉注入非离子造影剂80ml，注射速率3ml，于注射完毕后开始扫描。 3.图像分析 由两名有经验的放射科医师对病变的ct表现进行分析，并达成一致意见。分析内容包括：肿块发生