医学临床研究
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医学临床研究  2019, Vol. 36 Issue (11): 2154-2156    DOI: 10.3969/j.issn.1671-7171.2019.11.023
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肺磨玻璃结节的HRCT表现与病理新分类、结节侵袭性程度的关系研究
石太贵a, 吉浩明a, 沈春林b, 刘霞c
南通大学附属海安医院:a.肿瘤科;b.影像科;c.呼吸内科,江苏 海安 226600
Relationship of HRCT Manifestations of Pulmonary Ground Glass Nodules with New Pathological Classification and Nodular Invasiveness
SHI Tai-gui, JI Hao-ming, SHEN Chun-lin, et al
Department of Oncology, Hai'an Hospital, Nantong University, Hai'an 226600, China
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摘要 【目的】分析肺磨玻璃结节的高分辨率CT(HRCR)表现与病理新分类、结节侵袭性程度的关系。【方法】选择肺磨玻璃结节患者186例,均接受HRCT检测。比较不同病理新分类、结节侵袭性HRCT特点。【结果】HRCT与病理学检查的一致性较好。恶性结节大部分形状不规则,多数有分页,并且边界多毛刺,多空泡病变、胸膜凹陷以及血管增生。微浸润性和浸润性结节形状一般不规则,并且边界欠光滑和欠清晰,并有较多的空泡、胸膜凹陷以及血管增生。【结论】恶性程度高、侵袭性强额结节具有更不规则的形状和不清晰的边界,并且伴随空包病变血管增生等。
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石太贵
吉浩明
沈春林
刘霞
关键词 多发性肺结节/影像诊断肿瘤浸润    
Abstract【Objective】To analyze the relationship of high-resolution computed tomography (HRCR) manifestations of pulmonary ground glass nodules with pathological new classification and nodular invasiveness. 【Methods】A total of 186 patients with pulmonary ground glass nodules were selected for the study. All patients received HRCT examination. The characteristics of HRCT manifestations were compared with pathological new classifications and nodular invasive status. 【Results】In general, HRCT is consistent with its pathological examination. Malignant nodules usually had irregular and paginated shape with border burrs, multiple vacuole lesions, pleural depression and vascular proliferation. Microinvasive and invasive nodules were generally irregular in shape and their boundaries were less smooth and less clear which had more vacuoles, pleural depression and vascular proliferation. 【Conclusion】More malignant and invasive nodules have more irregular shapes and unclear borders, where are associated with vacuoles and vascular hyperplasia.
Key wordsMultiple Pulmonary Nodules/DG    Neoplasm Invasiveness
收稿日期: 2019-03-28     
PACS:  R734.2  
引用本文:   
石太贵, 吉浩明, 沈春林, 刘霞. 肺磨玻璃结节的HRCT表现与病理新分类、结节侵袭性程度的关系研究[J]. 医学临床研究, 2019, 36(11): 2154-2156.
SHI Tai-gui, JI Hao-ming, SHEN Chun-lin, et al. Relationship of HRCT Manifestations of Pulmonary Ground Glass Nodules with New Pathological Classification and Nodular Invasiveness. JOURNAL OF CLINICAL RESEARCH, 2019, 36(11): 2154-2156.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.11.023     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I11/2154
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