马丽华,李洁,谢玉泉.肺乳头状腺癌影像学表现的病理学基础分析[J].中国医学影像技术,2000,16(7):0528~529
肺乳头状腺癌影像学表现的病理学基础分析
An Analysis of the Pathological Basis of Imaging Manifestation in Lung Papillary Adenocarcinoma
投稿时间:2000-03-02  
DOI:
中文关键词:  肺腺癌  乳头状腺癌  病理学  影像学
英文关键词:Lung adenocarcinoma  Papillary adenocarcinoma  Pathology  Radiography
基金项目:
作者单位
马丽华 北京医科大学临床肿瘤学院北京肿瘤防治研究所北京肿瘤医院放射科,北京100036 
李洁 北京医科大学临床肿瘤学院北京肿瘤防治研究所北京肿瘤医院放射科,北京100036 
谢玉泉 北京医科大学临床肿瘤学院北京肿瘤防治研究所北京肿瘤医院病理科,北京100036 
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中文摘要:
      目的 分析肺乳头状腺癌影像学表现与病理组织学基础之间的关系。方法 将同期手术、病理证实的 261 例原发性肺腺癌中的10 例肺乳头状腺癌的影像学表现与病理组织学表现进行对照分析。结果 影像学上表现 的结节或肿块征象在病理组织学上为乳头状的肿瘤以及肺组织被扭曲、破坏的结构;影像学上病变周围出现的磨玻 璃状阴影,在病理组织学上则反应肿瘤细胞沿肺泡壁生长或阻塞肺泡引起的阻塞性肺炎改变;影像学上出现的卫星 结节对应病理组织学上的阻塞性肺炎、细支气管炎或细支气管脓肿。
英文摘要:
      Purpose To study the relationship betwwen imaging manifestation of lung papillary carcinoma and its pathological findings. Methods 10 cases of lung papillary adenocarcinoma out of 261 cases of primary lung adenocarcinoma that were verified by pathologic examination after operation were acquired. The imaging manifestation and pathological finding were studied comparatively. Results The nodular and mass in image indicate the papillary carcinoid tissue and twisted destructed structure ; The frosted glass2liking shadows around the mass in film reflect the infiltration of tumor cell along the alveolar and obstructive inflammation consequently ; The satellite nodular sign in film represent the obstructive pneumonia ,bronchiolitis or bronchiolar abscess correspondingly in pathology. Conclusion Lung papillary adenocarcinoma , as a subset lung adenocarcinorma ,has a low moebidity. Since the growing manner of similar to that of bronchoalveolar cell carcinoma ,it is likely to be misdiagnosed ,especially for biopsy.
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