不典型肺原发性黏液腺癌一例

发布时间：2018-03-28 12:15

本文选题：黏液腺癌　切入点：增强扫描　出处：《临床放射学杂志》2017年04期

【摘要】：正患者男,51岁。10天前无明显诱因出现咳嗽,干咳为主,偶咳少量白色泡沫痰,少量痰中带血,伴有右侧胸背痛,偶有胸闷、气促,无畏寒、发热,无潮热、盗汗;无疫区居住史,无粉尘、放射性物质及毒物接触史;否认冶游史。CT平扫及增强扫描:双肺内散在分布大小不等空洞及粟粒影,较大者约3.5 cm×3.1 cm,空洞壁厚薄不均,内壁不光整,密度不均匀,空洞壁及周围散在点状钙化灶,病灶周围可见毛刺,部分病灶与胸壁呈宽基底相连,增强扫描空洞壁呈中
[Abstract]:There was no obvious inducement to cough before 51 years old .10 days ago, dry cough was the main cause, a small amount of white foam sputum was occasionally cough, a small amount of sputum with blood, accompanied by chest pain, occasionally chest tightness, shortness of breath, no chills, fever, hot flashes, night sweating; History of living in no epidemic area, history of exposure to dust, radioactive substances and poisons; denial of history of travel. Ct plain scan and enhanced scanning: the lungs are scattered in holes of varying sizes and millet shadows, the larger ones are about 3.5 cm 脳 3.1 cm, the thickness of the hollow wall is uneven, and the inner wall is not only complete, The density is uneven, the empty wall and surrounding calcified foci are scattered, the burrs are seen around the lesions, some of the lesions are connected to the chest wall in a wide base, and the enhanced scanning cavity wall is in the middle.
【作者单位】：四川省自贡市第一人民医院放射科;
【分类号】：R734.2;R730.44

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