摘要
目的:探讨胸部恶性肿瘤在放化疗后出现癌性淋巴管炎的临床及影像学特点。方法:回顾性分析23例经临床证实的胸部恶性肿瘤放化疗后出现癌性淋巴管炎的临床及影像学资料。结果:PLC主要表现为咳嗽、干咳为主,气短进行性加重抗炎治疗无效,肺功为限制性通气障碍。X线片:双肺弥漫性网状,结节状等间质纤维样变,可见胸腔积液。CT见:小叶间隔不均一增厚,结节状,胸膜不规则增厚,肺门纵隔淋巴结增大。放疗后的病人改变多出现在放射野外。结论:对治疗后病人的当影像学检查提示肺呈类间质纤维化改变时,尤其合并肺门纵隔淋巴结肿大、胸水者,应进一步检查必要时病理确诊,早期诊断早期治疗。
Objective：To explore the clinical manifestations and imaging of pulmonary lymphangitic carcinomatosis（PLC）in chest malignant tumor after chemotherapy or radiation.Methods：Retrospective analysis was performed on the data of imaging of 23 cases of PLC,received chemotherapy or radiation.Results：The main clinical manifestations of PLC were）cough,particuly dry cough,dyspnea restrictive pattern ventilation.X-ray：diffuse or reticulonodular infiltrates in the lung like interstitial fibrosis and pleural effusion on chest radiography.CT：pleural effusion,a beaded chain appearance caused by an even thickening of the interlobular septa and pleural membrane,lung door,mediastinal lymphadenopathy as well.Conclusion：Patients after treatment,happened pulmonary interstitial fibrosis complicated with pleural effusion and paratracheal lymphadenopathy should be further checked for pleural-lung biopsy.
出处
《现代肿瘤医学》
CAS
2011年第9期1768-1769,共2页
Journal of Modern Oncology
