|
|
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 |
|
|
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.
|
Received: 28 March 2019
|
|
|
|
|
[1] 李月月, 罗学毛, 张鑫,等. 磨玻璃结节样多灶性肺腺癌CT征象与病理对照[J].中国医学影像技术, 2018, 34(1):60-63. [2] Gao F, Li M, Sun Y,et al.Diagnostic value of contrast-enhanced CT scans in identifying lung adenocarcinomas manifesting as GGNs (ground glass nodules).[J].Medicine, 2017, 96(43):e7742. [3] 刘文燕, 李智. 基于团队合作模式的护理干预在优化冠状动脉CT血管成像检查方案中的应用[J].重庆医学, 2017, 46(14):1970-1972. [4] 康霞,张斯佳.肝细胞肝癌的多层螺旋CT征象与肿瘤血管生成指标的相关性探讨[J].癌症进展,2018,16(04):442-444. [5] Travis WD.The 2015 World Health Organization Classificationof Lung Tumors: Impact of Genetic, Clinicaland Radiologic Advances Since the 2004 Classification [J].J Thorac Oncol,2015, 10(9): 1243-1260. [6] 任志鹏, 侯晓彬, 张连斌,等. 62例纯磨玻璃结节患者手术切除后的病理分析及预后观察[J].中国肿瘤临床与康复, 2015(10):1227-1230. [7] 邹勤, 刘士远, 管宇,等. 超高分辨率CT对3cm以下肺磨玻璃密度结节的诊断价值[J].临床放射学杂志, 2017, 36(4):484-488. [8] 刘荣伟,徐小虎,刘月军,等.肝硬化背景下肝脏良恶性结节的MRI及CT诊断价值[J].癌症进展,2018,16(06):790-793. [9] 刘凌霏, 刘佳, 李文武,等. 磨玻璃密度肺癌与炎症的HRCT鉴别诊断[J].中华肿瘤防治杂志, 2015, 22(9):692-695. [10] 刁晓鹏, 于华龙, 刘世合,等. 肺多发肿瘤性局灶性磨玻璃结节CT征象与病理结果的对照分析[J].中国医学影像技术, 2017, 33(1):29-33. [11] 韩丽珠, 叶兆祥, 李绪斌,等. CT定量参数预测评估肺混合磨玻璃结节侵袭性的临床价值[J].中国肿瘤临床, 2018, 45(6):286-290. [12] 宋之光, 李邦国, 余洪,等. 周围型肺癌双源CT灌注成像与肿瘤血管生成的相关性研究[J].临床放射学杂志, 2016, 35(2):192-196. |
[1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(9): 1763-1765. |
|
|
|
|