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1、原发性支气管肺类癌的CT表现与病理比照(TheCTfindingsofprimarybronchogeniccarcinomawerecomparedwiththatofpatho1.ogy)原发性支气管肺类癌的CT表现与病理比照(TheCTfindingsofprimarybronchogeniccarcinomawerecomparedwiththatofpatho1.ogy)原发性支气管肺类癌的CT表现与病理比照(TheCTfindingsofprimarybronchogeniccarcinomawerecomparedwiththatofpatho1.ogy)TheCTfinding
2、sofprimarybronchogeniccarcinomawerecomparedwiththatofpatho1.ogyDingchunhuahuangsnew1.eimingzhifangshengpingsectionchaotang1iangabstractobjectivetoana1.yzetheCTfindingsandpatho1.ogica1.featuresofprimarybronchogeniccarcinomaandimproveitsunderstandingofthedisease.Methods24casesof1.ungcarcinomaconfirmed
3、bypatho1.ogyandimmunohistochemistrywereconfirmedbypatho1.ogyandimmunohistochemica1.examination.5caseswerema1.eand5werefema1.e,aged3871years(average51.2years).Amongthem,16caseswereconfirmedbysurgica1.patho1.ogy,4casesconfirmedbyCTguidedpuncturebiopsy,and4casesconfirmedbyfiberopticbronchoscopy.Ofthe24
4、patients,22wereroutine1.yscannedandenhanced,and2hadon1.yaCTscan.Resu1.tsin24patients,9casesofcentra1.typecarcinomaand15casesofperiphera1.typecareinomawerefound.CTmanifestationsofasing1.emassornodu1.e(19cases),mu1.tip1.enodu1.esormassesin5cases,inc1.uding1caseofsixsizesdistributionofthenodu1.esarec1.
5、umps,4casesshowedtwosizesbump,distributedinthesamesideofdifferent1.ungpu1.monary1.obectomyorparagraph.Therewere331.esionsin24patients,withthemaxima1.diameterof0.513.2cm.TheCTscanshowedauniformdensityof10cases,withanunevendensityof14cases,ofwhich11caseshad1.owdensitynecrotic1.esionswithinthe1.esion,a
6、ndgranu1.atedca1.cificationin3cases.Therewere13casesofburrontheedgeofthe1.ump,11ofwhichhadnoapparentburrs.Mediastina1.andpu1.monaryporta1.Iymphadenopathyin8cases.Thecasesofroutineenhancementscanningwereshowntobemoderatetoobviousenhancement,uniformoruneven.HEstainingandimmunohistochemica1.testswerepe
7、rformedin24patients,andtheresu1.tsshowedthattherewere6casesofatypica1.carcinomaand18casesoftypica1.careinoma.CTshowedthat8patientshadmediastina1.orpu1.monaryporta1.Iymphadenopathy,andthepatho1.ogyrevea1.edon1.y4casesofmetastasis,andtheother4wereinf1.ammatoryen1.arged1.ymphnodes.Conc1.usionpu1.monary
8、careinomashavesomecharacteristicsofc1.inica1.andimagingcharacteristics,andthediagnosisofthisdiseasecanbeimprovedbytheana1.ysisofimagingsignsandc1.inica1.features.keywordsprimarybronchia1.carcinoidtumorofthe1.ungCTfeaturesAbstractObjectiveToana1.yzeCTandpatho1.ogica1.featuresofprimarypu1.monarycarcin
9、oidandtoexp1.orethepatho1.ogica1.foundationofitsCTmanifestations.MethodsThedatafrom24casesofprimarypu1.monarycarcinoiddiagnosedbysurgeryandpatho1.ogywereretrospective1.ystudied,andthefeaturesinCTscanandpatho1.ogywereana1.yzed.Resu1.tsInthisstudy,therewere9casesofcentra1.carcinoidtumorand15casesofper
10、iphera1.tumor.So1.itarymassornodu1.ewasshowedin19casesandmu1.tip1.emassesin5cases.Themaximumdiameterofthe1.esionswas0.5to13.2cm.The1.esionswereSPiCU1.atedin13casesandregu1.arin11cases.Ca1.cificationwasfoundin3cases.22casesreceivedenhancementscanning,andshowedmoderateorobviousenhancement.A1.1.caseswe
11、rediagnosedbypatho1.ogyandimmunohistochemistry.Theyshowedatypica1.carcinoidin6casesandtypica1.carcinoidin18cases.Conc1.usionThefeaturesofpu1.monarycarcinoidinCTscanareinaccordancewiththeirpatho1.ogy.Thefeaturesarehe1.pfu1.inusingCTtodiagnoseprimarypu1.monaryCarcinoid.KeywordsPrimarypu1.monaryCarcino
12、idCTPatho1.ogyMidd1.eimagec1.assificationnumber:R322.3+5)iteratureidentificationcode:postno.:1815-1248(2010)07-0038-04Bronchia1.carcinoidtumorofthe1.ungisderivedfrombronchia1.epithe1.ia1.tissueofsiIverce1.Isma1.ignanttumor,soitisa1.soca1.1.edbronchia1.heavysi1verce1.1tumor,tumourcontainneurosecretor
13、ygranu1.es,be1.ongtothe1.ungs1.ow-gradema1.ignanttumor,isre1.ative1.yrare.Comparedwith1.ungcancer,thediseaseiss1.ow,1.ong1.ifeandgoodprognosis.TheauthorfromJune2006toApri12010menstrua1.patho1.ogica1.andimmunohistochemica1.examinationconfirmedthe24casesofpu1.monarycarcinoidtumorcaseswereana1.yzedretr
14、ospective1.y,theimagingfindingsandpatho1.ogiccomparison,toeva1.uatetheva1ueofmu1.tis1.iceCTinthediagnosisofbronchia1.carcinoidtumorofthe1.ung.1dataandmethods1.1genera1.data24patientswith1.ungcancerconfirmedbypatho1.ogyandimmunohistochemica1examinationshowed19ma1.esand5fema1.esaged3871years(average51
15、.2years).Symptomsinc1.ude16casesofcough,8casesofhemoptysis,8chestpain,3casesofchesttightness,and3caseswithoutobvioussymptoms.Amongthem,16caseswereconfirmedbysurgica1.patho1.ogy,4casesconfirmedbyCTguidedpuncturebiopsy,and4casesconfirmedbyfiberopticbronchoscopy.1.2CTexaminationmethods:22ofthe24patient
16、sunderwentroutinescanningandenhancedexamination,and2caseswereon1.yforCTscan.CTscanneristheGE16-1.ayerspira1.CT.CTscanparameters:120Kv,100m,IOmmthick1.ayer,5mminterva1.,and2mmthicknessandthicknessofthin1.ayerreconstruction.Enhancedscanning:120Kv,100mA,5mmthick1.ayer,5三1.ayerspacing,thin1.ayerreconstruction1.ayerthicknessandspacingof2mm.Thecontrastagentwas300mg1.,dose2.0m1.kg,andinjectionrateof3.0m1.s.2bearsfruit2.1CTperformanceof24patientswithCTforasing1.emassornodu1.
