| 宋天彬,夏爽,祁吉.伴有喉癌的多原发癌的MSCT影像学及临床特点[J].中国医学影像技术,2010,26(4):655~658 |
| 伴有喉癌的多原发癌的MSCT影像学及临床特点 |
| MSCT imaging and clinical features of laryngocarcinoma in patientscombined with other primary carcinomas |
| 投稿时间：2009-11-05 修订日期：2009-12-15 |
| DOI： |
| 中文关键词: 喉肿瘤 原位癌 体层摄影术,X线计算机 |
| 英文关键词:Laryngeal neoplasms Carcinomas in situ Tomography, X-ray computed |
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| 中文摘要: |
| 目的 探讨伴有喉癌的多原发癌的MSCT影像学及临床特点。方法 伴有喉癌的多原发癌患者5例,3例患者有20年以上的吸烟史;3例喉癌术后并发其他原发癌的患者经不同程度的放、化疗及免疫治疗。5例多原发癌患者中,2例同时癌及1例异时癌患者第二原发癌均为右肺上叶周围型肺癌,其他2例异时癌第二原发癌分别为软腭及悬雍垂恶性肿物和颈部恶性淋巴瘤。分析其MSCT影像学特点。结果 5例多原发癌包括2例同时癌和3例转移癌。MSCT影像学表现:全部病例的各部位原发病灶均表现为典型的恶性肿瘤影像特点;2例伴有颈部淋巴结的转移。结论 喉癌患者术前及术后其他部位检查发现有典型恶性肿块影像学表现时,尤其是对有长期吸烟史及术后进行过放、化疗及免疫治疗的患者,要考虑多原发癌可能。对喉癌术后患者应进行长期的颈部及其他部位随访。 |
| 英文摘要: |
| Objective To observe MSCT and clinical features in patients of laryngocarcinoma combined with other primary carcinomas. Methods Five patients of laryngeal cancer combined with multiple primary cancer were enrolled in the study. Three paitents had long-term smoking history more than 20 years. Three paitents had various degree of radiotherapy, chemotherapy and immunotherapy. The second primary cancer located in right upper lung lobe in 2 patients of synchronous cancer and 1 patient of metachronous cancer. The others located in soft palate, uvula and the left side of zone Ⅱ and zone Ⅳ in the neck, respectively. MSCT and clinical characteristics were analyzed. Results Five patients of multiple primary cancers included 2 patients of synchronous cancer and three patients of metachronous cancer. MSCT found the appearances of malignant tumors in various parts in all 5 patients and cervical lymph nodes metastasis in 2 patients. Conclusion The possibility of prime laryngocarcinoma combined with other primary cancers should be considered when other organ malignant tumor was detected in patients with laryngeal carcinoma, especially in patients with history of long-term smoking, radiotherapy and chemotherapy and immunotherapy. Long-term following-up of cervix and other organs should be taken for the postoperative patients of laryngocarcinoma. |
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