肺部转移瘤的影像诊断.pptxVIP

肺部转移瘤的影像诊断第1页/共33页 典型肺转移多能明确诊断，主要表现为： 1.血行转移：多发是肺转移瘤特征（在多发肺结节中，转移瘤占70%～80%），表现为两肺多发结节灶，边缘多清楚、密度均匀，以两肺中下野、外周常见，67%见于胸膜下， 25%发生在肺野外1/3。较大的病灶可达10cm以上，较小的病灶为粟粒结节病灶，小结节及粟粒病灶多见于甲状腺癌、肝癌、胰腺癌及绒毛膜上皮癌转移；多发及单发的较大结节及肿块多见于肾癌、结肠癌、黑色素瘤、骨肉瘤及精原细胞瘤等的转移。 第2页/共33页 粟粒样肺转移:DMLD (diffuse micronodular lung disease), each nodule being 3mm in diameter and occupying more than two-thirds of lung volume on chest radiograph, can be differentiated by its distribution.Centrilobular distribution is seen in DPB (diffuse panbronchiolitis), infectious bronchiolitis, H. influenza, bronchogenic disseminated tuberculosis, pneumo