艾滋病合并肺癌的CT表现

发布时间：2018-04-28 16:23

本文选题：获得性免疫缺陷综合征 + 肺肿瘤　；参考：《放射学实践》2015年09期

【摘要】：目的:分析、总结AIDS合并肺癌的临床及CT表现特点,提高对AIDS合并肺癌的认识。方法:回顾性分析经临床病理证实的17例AIDS合并肺癌患者的临床及CT表现。结果:AIDS合并肺癌以中年男性多见,常合并肺部感染。CT多表现为外周分布的类圆形、分叶状软组织肿块,多合并纵隔和/或肺门淋巴结肿大。伴有肺部感染者与不伴肺部感染者相比,在肿块分布、外形、密度、邻近肺野及胸膜改变、肿大淋巴结方面差异均无统计学意义(Fisher确切概率法,P0.05),但肿块较大、伴有胸水在两者间差异有统计学意义(t检验,P=0.02;Fisher确切概率法,P=0.04)。结论:中年男性AIDS患者伴有肺部机会性感染时,若肿块较大、出现胸水且对症处理后效果不明显时,应考虑到肺癌的可能。
[Abstract]:Objective: to analyze the clinical and CT features of AIDS combined with lung cancer, and to improve the understanding of AIDS combined with lung cancer. Methods: retrospective analysis of clinical and CT manifestations of 17 patients with lung cancer confirmed by clinicopathological diagnosis. Results: AIDS combined with lung cancer was seen in middle aged men, often associated with pulmonary infection and more.CT in the peripheral distribution of peripheral distribution. A lobular soft tissue mass, combined with mediastinum and / or pulmonary hilar lymph node enlargement. There were no statistically significant differences in the mass distribution, shape, density, adjacent lung field and pleural changes in the mass distribution, the adjacent lung field and the pleural change, and the swelling of the lymph nodes (Fisher, P0.05), but the mass was larger with the chest water between the two. The difference was statistically significant (t test, P=0.02; Fisher exact probability method, P=0.04). Conclusion: the possibility of lung cancer should be considered if the middle aged male AIDS patients with pulmonary opportunistic infection, if the mass is larger, the chest water is found and the effect is not obvious after the treatment of the disease.

【作者单位】：复旦大学附属公共卫生临床中心放射科;复旦大学附属中山医院青浦分院放射科;
【分类号】：R512.91;R734.2;R730.44

【共引文献】