摘要
目的观察分析X线胸片和肺CT在诊断恶性滋养细胞肿瘤(GTT)肺转移中的价值和意义。方法收集51例有肺转移GTT患者的临床资料。对35例X线胸片有疑问的患者进行肺CT检查。结果CT诊断有肺转移而X线报告肺渗出性、斑片状改变12例;可疑结节影10例;肺纹理增多9例;阴性4例。治疗后X线正常而CT显示仍有病灶持续存在4例。结论CT在诊断可疑、隐匿性、多发性病灶方面具有明显的优势。对X线阴性的GTT患者应尽量做肺CT检查,有助于期别的判定和治疗中监测。
Objective To analyse the diagnostic significance of X ray and CT for pulmonary metastasis of gestational trophoblastic tumor(GTT).Methods Fifty-one GTT with pulmonary metastasis were studied.Thirty-five with dubious X ray films were examined by CT.Results Pulmonary metastasis was positive by CT, but X ray findings of lung were as follows:exudative and patchy changes in 12,in dubious nodule in 10;increased lung markings in 9 and no abnormality.Four cases with normal X ray film still showed positive CT after treatment.Conclusions CT has clear superiority in diagnosis of dubious,hidden and multiple lesions of lung.GTT patients with negative X ray film should be examined by CT,which would be helpful to deciding stage and treatment of GTT.
出处
《中国肿瘤临床与康复》
2005年第3期265-267,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
X线
CT
恶性滋养细胞肿瘤
肺转移
X ray
CT
Gestational trophoblastic tumor
Pulmonary metastasis
