摘要
目的:探讨肺部局限性磨玻璃样影(FGGO)的影像学特征以及与肺泡细胞癌的关系。方法:收集3例以肺部FGGO为主要表现的细支气管肺泡细胞癌(BAC),分析FGGO对BAC的诊断价值。结果:对3例肺部表现为FGGO的患者进行电视辅助胸腔镜手术(VATS),术后病理检查均证实为BAC。结论:肺部FGGO是一项具有特征性但非特异性的影像学表现,对于早期发现肺癌具有重要临床意义,可以作为肺癌诊断的参考。胸部CT发现直径≥10mm的FGGO时应想到早期腺癌及癌前病变的可能,短期(<3个月)随访后如FGGO持续存在,病灶增大或密度增高时,应尽早作病理组织学检查。
Objective：Explore the radiological feature and clinical diagnostic significance of focal ground glass opacity（ FGGO） in bronchioloalveolar carcinoma, so as to improve image analysis. Methods：Through reporting three cases of bronchioloalveolar carcinoma with the radiological features of focal ground glass opacity and reviewing literatures, we discussed and analysed the FGGO＇s diagnostic value furtherly. Results：All three cases who treated with video-assisted thoracic surgery were diagnosed pathologically as bronchioloalveolar carcinoma. Conclusion ： Focal ground glass opacity of the lung has characteristic but nonspecific imaging manifestations, and may be index for early diagnosis of lung cancer. With the presence of focal ground glass opacity（ diameter i〉 10mm） , and no remarkable resolution of the nodule after short follow（ 〈 3 months） early lung cancer should be strongly suspected. The early pathological examination should be suggested.
出处
《临床肿瘤学杂志》
CAS
2009年第9期831-833,共3页
Chinese Clinical Oncology
