摘要
目的:探讨支气管肺泡细胞癌(BAC)的临床表现、影像学特点和病理学诊断。方法:收集2007年2月至2010年2月在苏州大学附一院住院的21例BAC患者的临床资料,并文献资料一起回顾性分析。结果:本组研究病例中,体检发现病灶9例(42.86%),首发咳嗽、咯痰、胸痛等症状12例(57.14%);11例(52.38%)曾被误诊为其他肺部疾病;CT的影像学表现为肺部结节或肿块型病灶12例(57.14%),肺部节段型的炎症样病变7例(33.3%),两肺弥漫型小结节样病变2例(9.52%)。所有病例最后均得到病理证实。结论:支气管肺泡细胞癌表现多样,易被误诊为其他肺部疾病,影像学表现具有一定的特征性,病理活检是确诊的关键。
Objective ：To investigate the clinicsl symptoms, radiologieal characteristics and pathological diagnoses of BAC. Methods： We retrospectively analyzed the correlative literatures and the clinical data of 21 inpatients of BAC in The First Affiliated Hospital of Soocbew University, from February,2007 to February ,2010. Results ：The enrolled cases in this study accounted for 42.86% （9/21） of patients undergoing the healthy physical examination, and 57.14% （ 12/21 ） of patients with cough or chest pain. The number of misdiagnosed cases was 11 ,being 52.38% of the total 21 cases. CT diagnoses of the 21 cases,single - nodule - type （or mass - type） was demonstrated in 12 （57.14%）, pneumonia - consolidation - type in 7 （33.3 % ）, and permeation type in 2 （ 9.52% ）. All these cases were diagnosed pathologically as BAC. Conclusion：For the manifestations of BAC were various, BAC is often misdiagnosed as other pulmonary diseases. The radiological manifestations have their own characteristics. Biopsy is often necessary for confirmed diagnosis.
出处
《医学信息（中旬刊）》
2011年第5期1976-1977,共2页
Medical Information Operations Sciences Fascicule
