多层螺旋CT诊断肺大细胞神经内分泌癌的价值

发布时间：2018-05-29 11:24

本文选题：神经内分泌癌 + 大细胞癌　；参考：《放射学实践》2015年04期

【摘要】：目的:探讨多层螺旋CT(MSCT)在诊断肺大细胞神经内分泌癌(LCNEC)中的价值。方法:回顾性分析经病理证实的19例LCNEC患者的临床和CT资料。结果:19例LCNEC中,6例为中央型,13例为周围型;病灶呈类圆形或不规则形,边缘可见分叶状13例、毛刺5例;病灶直径3~7cm,平均(4.60±1.99)cm;可见坏死7例,出血2例,钙化1例;胸膜凹陷征3例,阻塞性肺炎及阻塞性肺不张2例,胸腔积液4例,肺门淋巴结或纵隔淋巴结肿大9例,伴远处转移7例。结论:LCNEC的CT表现无明显特征性,最终确诊需结合临床和病理检查。
[Abstract]:Objective: to evaluate the value of multilayer spiral CTT (MSCT) in diagnosis of large cell neuroendocrine carcinoma of lung (LCNECs). Methods: the clinical and CT data of 19 patients with LCNEC confirmed by pathology were retrospectively analyzed. Results among 19 cases of LCNEC, 6 cases were central type, 13 cases were peripheral type, 13 cases were round or irregular, 13 cases had lobular shape and 5 cases had burr, the diameter of lesions was 3 ~ 7 cm (mean 4.60 卤1.99 cm), 7 cases were necrotic, 2 cases were hemorrhage, 1 case was calcification. Pleural indentation in 3 cases, obstructive pneumonia and obstructive atelectasis in 2 cases, pleural effusion in 4 cases, hilar lymph node or mediastinal lymph node enlargement in 9 cases, distant metastasis in 7 cases. Conclusion there is no obvious characteristic in the CT findings of% LCNEC, and the final diagnosis should be combined with clinical and pathological examination.
【作者单位】：广西壮族自治区南溪山医院放射科;
【分类号】：R734.2;R730.44

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