青年人细支气管肺泡癌CT表现与临床病理对比分析

Analysis and comparison of CT manifestations and clinical pathology of bronchioloalveolar carcinoma in young people

摘要:

目的：分析青年人细支气管肺泡癌（Bronchioloalveolar carcinoma，BAC）的CT表现并与临床病理对比分析，以提高对本病的诊断水平。方法：回顾性分析78例经手术病理证实的青年人BAC患者，根据手术病理，分为孤立结节组（28例）、多发结节组（24例）和肺叶实变组（26例），研究比较各型肺泡癌的影像特点。结果：孤立结节组CT表现相对特异性征象较多，如分叶征、支气管充气征、胸膜凹陷征等；多发结节组CT表现为两肺弥漫多发结节状、碎路石征象，常伴有胸膜牵拉等征象；肺叶实变组CT表现为肺密度低、蜂窝肺征、血管造影征、枯树枝征及多发腺泡结节。结论：熟悉青年人BAC的CT表现，有助于提高术前对本病的诊断。

Abstract:

Objective：To analyze and compare CT manifestations and clinical pathology of bronchioloalveolar carcinoma in young people，so as to improve the diagnosis of this disease. Methods：78 young patients of bronchioloalveolar carcinoma confirmed by sur－gical pathology were retrospectively analyzed. According to the pathological manifestation，the patients were divided into 3 groups as follows: isolated-nodule group （28 cases），multiple-nodules group （24 cases），and lobar-consolidation group （26 cases）. The imag－ing features of lung cancer in different groups were compared and studied. Results：In isolated-nodule group，specific signs such as lobulation，air bronchogram，and pleural indentation were showed relatively more than those in the other two groups. Multiple-nodules group showed diffuse multiple nodules in both lungs，broken stone road signs，and were often accompanied by pleural traction. Lobar-consolidation group showed low density of lungs，honeycomb lung sign，angiography sign，dry branches sign and multiple acinar nod－ules. Conclusion：Understanding CT manifestations and clinical pathology of bronchioloalveolar carcinoma in young patients can help to improve preoperative diagnosis of this disease.