摘要
目的探讨结节和肿块型局灶性机化性肺炎(FNMOP)临床和CT特征,以提高与肺癌的鉴别诊断水平。方法搜集经病理证实的14例NMFOP患者的临床资料、实验室检查(肿瘤标记物和D-二聚体)及CT影像资料,并对这些资料进行回顾性总结分析。结果 14例患者中,病灶为圆形或类圆形者5例,不规则形9例;边缘清晰5例,病灶边缘模糊9例;浅分叶7例,深分叶3例;短毛刺1例,长毛刺2例;3例有血管集束征,8例有棘突征。右肺9例,肺上叶9例。结论结合临床资料、肿瘤标记物和D-二聚体及CT特征进行综合分析,有助于对FNMOP的鉴别诊断。
Objective To explore the clinical and CT features in patients with focal nodular and mass-type organizing pneumonia（ FNMOP） so as to differentiate the lesions from lung cancer. Methods Clinical data,laboratory examination（ Tumor markers and D-dimer） and CT features of 14 patients with pathology-proven diagnoses of FNMOP from September2012 to December 2015 were extracted and retrospectively analyzed. Results Of the 14 patients’ CT performance,focal round or oval mass-like opacities were found in 35. 7%（ 5 of 14）,polygonal masses with irregular margins were seen in64. 3%（ 9 of 14）,5 cases（ 35. 7%） manifested as clear margind,opacities with indistinct borders were identified in64. 3%（ 9 of 14）. 7 cases（ 50. 0%） were identified as shallow lobulations,3（ 21. 4%） as deep lobulations,1（ 7. 1%）as short spiculations,2（ 14. 3%） as long spiculations,3（ 21. 4%） as vessel convergence,and 8（ 57. 1%） as spinous processes. The lesions were predominantly in the right lung（ 64. 3%）,with the upper lobe being the most commonly affected area（ 64. 3%）. Conclusion It will be helpful to differentiate FNMOP from lung cancer on the basis of clinical data,tumor markers,D-dimer and the pattern and distribution of abnormalities on CT.
作者
刘伟
潘琳琳
谢雪婷
陈兴无
LIU Wei PAN Linlin XIE Xueting et al.(Department of Respiratory Medicine, Yijishan Hospital, Wannan Medical College, Wuhu ,Anhui Province 241001, P. R. China)
出处
《临床放射学杂志》
CSCD
北大核心
2017年第2期215-218,共4页
Journal of Clinical Radiology
关键词
机化性肺炎
结节和肿块型
肺癌
鉴别诊断
Organizing pneumonia
Focal nodular and mass-type
Lung cancer
Differential diagnosis
