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目的分析细支气管肺泡癌的CT表现,提高早期诊断水平,达到及时治疗的目的。方法本院对20例已病理确诊的肺泡癌患者的临床资料进行了综合性分析以及仔细的研究。结果在临床治疗中以咳嗽、咳血或者痰中带血现象为常见。首次就诊的患者仅有8例得到确诊,误诊率高达60%(12/20)。局限性球形病灶均行手术切除的患者有4例,除1例患者有局部和肺门淋巴结转移的现象外,其余均没有发现转移症状。经过追踪观察的7例患者,平均的生存时间为l年。结论经过CT对细支气管肺泡癌进行鉴别诊断,并及时做进一步的相关检查,可减少误诊率。
Objective To analyze the CT manifestations of bronchioloalveolar carcinoma and to improve the early diagnosis and achieve the purpose of timely treatment. Methods A total of 20 cases of patients with pathologically confirmed alveolar carcinoma were analyzed comprehensively and carefully. Results in clinical treatment with cough, hemoptysis or sputum bloody phenomenon is common. Only 8 of the first-time patients were diagnosed, with a high misdiagnosis rate of 60% (12/20). Surgical resection of the limited spherical lesions in patients with 4 cases, with the exception of 1 case of local and hilar lymph node metastasis, the rest were found no symptoms of metastasis. After follow-up observation of 7 patients, the average survival time was l years. Conclusion The differential diagnosis of bronchioloalveolar carcinoma through CT and the timely further relevant examination can reduce the misdiagnosis rate.