邓靓娜,张国晋,刘显旺,张斌,景梦园,林晓强,韩涛,周俊林.对比原发性肺腺样囊性癌与黏液表皮样癌CT表现[J].中国医学影像技术,2021,37(9):1327~1331
对比原发性肺腺样囊性癌与黏液表皮样癌CT表现
Comparison on CT manifestations of primary adenoid cystic carcinoma and mucoepidermoid carcinoma
投稿时间:2021-01-28  修订日期:2021-07-04
DOI:10.13929/j.issn.1003-3289.2021.09.012
中文关键词:  肺肿瘤  癌,腺样囊性  癌,黏液表皮样  诊断,鉴别  体层摄影术,X线计算机
英文关键词:lung neoplasms  carcinoma, adenoid cystic  carcinoma, mucoepidermoid  diagnosis, differential  tomography, X-ray computed
基金项目:甘肃省医学影像重点实验室开放基金(GSYX202010)。
作者单位E-mail
邓靓娜 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
张国晋 四川省人民医院放射科, 四川 成都 610072  
刘显旺 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
张斌 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
景梦园 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
林晓强 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
韩涛 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
 
周俊林 兰州大学第二医院放射科, 甘肃 兰州 730030
兰州大学第二临床医学院, 甘肃 兰州 730030
甘肃省医学影像重点实验室, 甘肃 兰州 730030 
lzuzjl601@163.com 
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中文摘要:
      目的 对比原发性肺腺样囊性癌(ACC)与黏液表皮样癌(MEC)CT表现。方法 回顾性分析经病理证实的22例ACC(ACC组)与18例MEC(MEC组)患者胸部CT资料,比较其CT表现差异,并对增强动脉期及静脉期CT值绘制受试者工作特征(ROC)曲线,评估其鉴别MEC与ACC的效能。结果 ACC组与MEC组间病灶类型,增强扫描动、静脉期CT值及病灶强化程度差异均有统计学意义(P均<0.05);病灶部位、有无阻塞性病变、囊变/坏死、钙化、淋巴结肿大、胸腔积液及远处转移组间差异均无统计学意义(P均>0.05),而中央型病变发生部位、纵向浸润范围及病变环周范围组间差异均有统计学意义(P均<0.05)。ROC曲线显示,动脉期和静脉期CT值鉴别ACC与MEC的曲线下面积(AUC)分别为0.78及0.75。结论 ACC和MEC的CT表现存在一定差异,结合临床有助于鉴别诊断。
英文摘要:
      Objective To comparatively analyze CT manifestations of primary lung adenoid cystic carcinoma (ACC) and mucoepidermoid carcinoma (MEC). Methods Data of chest CT of 22 patients with ACC (ACC group) and 18 with MEC (MEC group) confirmed pathologically were retrospectively analyzed. CT manifestations were compared between groups. The receiver operating characteristic (ROC) curves of CT values of enhanced arterial and venous phases were drawn, and the areas under the curves (AUC) for differential diagnosis of MEC and ACC were calculated, and the diagnostic efficacies were evaluated. Results There were significant differences of lesion types, CT values of enhanced arterial and venous phases and enhanced degrees between groups (all P<0.05), while the localization, occurrence of obstructive lesions, cystic degeneration/necrosis, calcifications, lymph nodes enlargement, pleural effusion and metastases were not statistically different between groups (all P>0.05). For central type lesions, there were statistical differences of the localization of occurrence, longitudinal infiltration range and lesion circumference range between groups (all P<0.05). ROC curves showed that AUC of the arterial and venous CT value was 0.78 and 0.75, respectively. Conclusion CT manifestations of ACC and MEC were somehow different, being helpful to differential diagnosis combining with clinic data.
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