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目的:探讨细支气管肺泡癌病理发生部位与影像征象之间的关系。方法:选择我院2012年1月~2013年1月收治细支气管肺泡癌患者36例。所有患者经病理组织检查确诊细支气管肺泡癌。结果:肿瘤发生于近段支气管处细支气管肺泡癌与发生于外围近肺泡处细支气管肺泡癌所致影像征象不同,前者呈多为实变型,肿瘤与支气管长轴平行,晚期可引起支气管阻塞而合并肺不张、肺炎等一系列影像,可转变为弥漫型,而后者多为结节型,呈孤立性结节影,边界呈磨玻璃影,较少引起肺组织继发性改变,如阻塞性肺炎、肺不张等。结论:细支气管肺泡癌因病理发生部位,可以引起影像征象不同,对临床治疗方法及其预后有非常重要的意义。
Objective: To investigate the relationship between pathological sites of bronchioloalveolar carcinoma and imaging signs. Methods: 36 cases of patients with bronchioloalveolar carcinoma admitted to our hospital from January 2012 to January 2013 were selected. All patients were diagnosed with bronchioloalveolar carcinoma by pathological examination. Results: The tumor occurred in the proximal bronchiolar bronchioloalveolar carcinoma and peripheral bronchioloalveolar carcinoma in the peripheral bronchioloalveolar carcinoma caused by different imaging signs, the former was mostly solid variant, the tumor parallel to the long axis of the bronchial, late can cause bronchial obstruction and Amalgamated atelectasis, pneumonia and a series of images, can be transformed into diffuse type, while the latter mostly nodular, solitary nodules, the boundary was ground glass, causing less secondary lung tissue changes, such as obstruction Pneumonia, atelectasis and so on. Conclusion: Bronchioloalveolar carcinoma due to pathological sites can cause different imaging signs, which have very important clinical treatment methods and prognosis.