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目的分析实变型细支气管肺泡癌的CT特征。方法搜集了经病理证实的实变型细支气管肺泡癌17例,并分析其CT表现。结果 CT表现为两肺单发或多发实变影,呈磨玻璃样密度7例,蜂窝状改变9例,叶间胸膜膨出5例,支气管枯树枝征7例,血管造影征2例,纵隔淋巴结肿大4例,胸腔积液5例。结论实变型细支气管肺泡癌误诊率极高,结合临床表现、影像表现、治疗情况,综合分析,才有可能做出正确的诊断,提高早期诊断率。
Objective To analyze the CT features of solid bronchioloalveolar carcinoma. Methods 17 cases of solid bronchioloalveolar carcinoma confirmed by pathology were collected and their CT findings were analyzed. Results The CT manifestations were single or multiple solidified lesions of both lungs, showing 7 cases of ground-glass density, 9 cases of honeycomb changes, 5 cases of pleuropneumonia, 7 cases of bronchial dendritic arrhythmia, 2 cases of angiography, 4 cases of lymphadenopathy, pleural effusion in 5 cases. Conclusion The real diagnosis of bronchioloalveolar carcinoma misdiagnosis rate is extremely high, combined with clinical manifestations, imaging findings, treatment, comprehensive analysis, it is possible to make the right diagnosis and improve the early diagnosis rate.