原发性肺类癌的临床表现及MSCT诊断

原发性肺类癌的临床表现及 MSCT 诊断【摘要】目的：分析探讨原发性肺类癌（primary pulmonarycarcinoid，PPC）的临床表现及 MSCT 影像特点，旨在提高对该肿瘤的认识，提高诊断符合率。方法：整理收集2005 年 6月-2015 年 7 月本院经病理证实且资料完整的 22 例原发性肺类癌患者的资料，回顾统计和分析该肿瘤不同临床表现及MSCT 平扫、双期增强扫描上的表现。结果：临床有咳嗽、咳痰症状的患者 10 例（45.5%），咳血 6 例（27.3%），胸痛 2例（9.1%），发烧 2 例（9.1%）；无症状 2 例（9.1%）。CT 平扫检查发现右肺 14 例，左肺 8 例，12 例为类圆形，密度均匀；呈浅分叶状或不规则状 10 例，密度多不均匀；双期增强扫描病灶均强化明显。结论：虽然原发性肺类癌临床及 CT表现多样，但有一定的影像学特点，再结合临床表现，完全可以提高本病的术前诊断符合率。【关键词】肺类癌；临床； MSCT；双期增强扫描【Abstract】 Objective：To investigate the primarypulmonary （PPC）， and to improve the diagnostic accuracy ofMSCT.Method：The data of 22 patients with primary lung cancerwere collected and analyzed retrospectively in our hospitalfrom to 2005， and the clinical manifestations and MSCT scanand -2015 scan were retrospectively analyzed.Result：Theclinical symptoms of cough patients accounted for 14 cases（63.6%），of which there were 6 cases of fever.4 cases（18.2%）of blood in the sputum.2 cases（9.1%） of chest pain.2 cases（9.1%） without symptoms.CT scans showed 14 cases in rightlung，8 cases in left lung，12 cases were round，uniformdensity.Shallow lobulated or irregular shaped were 10 cases，inhomogeneous density.Dual phase enhanced scanning lesionswere most obvious enhancement.Conclusion：Although theclinical and CT manifestations of primary lung cancer arediverse，but there is a certain imaging characteristics，incombination with clinical manifestations，can improve theaccuracy of preoperative diagnosis of the disease.【Key words】 Pulmonary carcinoid ； Clinical； M...