摘要
目的 探究薄壁囊腔类肺腺癌多层螺旋CT(MSCT)影像学表现与病理亚型及分化程度的相关性。方法 回顾性分析2018年7月至2021年11月中国人民解放军联勤保障部队第904医院收治的78例薄壁囊腔类肺腺癌患者的病例资料。根据病理亚型将其分为乳头型、微乳头型、腺泡型和附壁型;根据分化程度将其分为低分化、中分化和高分化。比较不同病理亚型及分化程度的薄壁囊腔类肺腺癌患者MSCT的影像学表现。结果 不同病理亚型薄壁囊腔类肺腺癌患者分叶征和空气支气管征比较,差异有统计学意义(P<0.05)。不同分化程度薄壁囊腔类肺腺癌患者分叶征、毛刺征、空气支气管征、囊壁厚度不均比较,差异有统计学意义(P<0.05)。结论 不同病理亚型及分化程度薄壁囊腔类肺腺癌MSCT影像学表现具有一定的特征性。
Objective To explore the correlation between multi-slice spiral CT(MSCT) findings and thin-walled cystic cavity pulmonary adenocarcinoma with pathological subtypes and degree of differentiation.Methods The case data of 78 patients with thin-walled cystic cavity pulmonary adenocarcinoma admitted to the 904th Hospital of the Joint Service Support Force of the Chinese People’s Liberation Army from July 2018 to November 2021 were retrospectively analyzed.According to the pathological subtypes,they were divided into papillary type,microemulsion head type,acinar type,and mural type;according to the degree of differentiation,they were divided into low differentiation,medium differentiation,and high differentiation.The MSCT imaging findings of thin-walled cystic cavity pulmonary adenocarcinoma patients with different pathological subtypes and degrees of differentiation were compared.Results There were significant differences in lobulation sign air and bronchogram sign of thin-walled cystic cavity lung adenocarcinoma with different pathological subtypes(P<0.05).There were significant differences in lobation sign,burr sign,air bronchus sign,and the thickness of cystic cavity of thin-walled cystic cavity pulmonary adenocarcinoma with different degree of differentiation(P <0.05).Conclusion The MSCT imaging findings of thin-walled cystic cavity pulmonary adenocarcinoma with different pathological subtypes and differentiation degrees have certain characteristics.
作者
李亚南
殷慧康
宋文月
耿承军
LI Yanan;YIN Huikang;SONG Wenyue;GENG Chengjun(Department of Radiology,the 904th Hospital of the Joint Service Support Force of the Chinese People’s Liberation Army,Jiangsu Province,Wuxi 214000,China)
出处
《中国医药导报》
CAS
2023年第1期154-157,共4页
China Medical Herald
基金
江苏省自然科学基金资助项目(BK20181174)。
关键词
薄壁囊腔
肺腺癌
多层螺旋CT
病理亚型
分化程度
Thin-walled cystic cavity
Pulmonary adenocarcinoma
Multi-slice spiral CT
Pathological subtypes
Degree of differentiation
