| 席艳丽,唐文伟,张新荣.小儿先天性肺囊性腺瘤样畸形的影像与病理对照分析[J].中国医学影像技术,2010,26(8):1488~1491 |
| 小儿先天性肺囊性腺瘤样畸形的影像与病理对照分析 |
| Comparative analysis of imaging and pathology on congenital cystic adenomatoid malformation of the lung in children |
| 投稿时间：2010-03-15 修订日期：2010-04-15 |
| DOI： |
| 中文关键词: 肺囊腺瘤样畸形,先天性 体层摄影术,X线计算机 放射摄影术 病理学 |
| 英文关键词:Cystic adenomatoid malformation of lung, congenital Tomography, X-ray computed Radiography Pathology |
| 基金项目: |
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| 中文摘要: |
| 目的 评价小儿先天性肺囊性腺瘤样畸形的影像学表现与病理分型的关系。方法 回顾10例小儿先天性肺囊性腺瘤样畸形的X线及CT表现,根据CT最大囊直径分为大囊型(囊径＞2 cm)、小囊型(囊径≤2 cm)及实性型,并与Stocker分型进行对照。结果 小儿先天性肺囊性腺瘤样畸形的X线平片表现为气胸样改变2例、多囊状改变6例、肺炎样改变2例;CT表现为大囊型5例、小囊型4例、实性型1例。所有大囊型均为Stocker Ⅰ型,小囊型中1例为Stocker Ⅰ型,3例为StockerⅡ型,1例实性型为Stocker Ⅱ型。结论 CT检查是诊断先天性囊性肺腺瘤样畸形的可靠方法,根据CT表现可推测其病理分型。 |
| 英文摘要: |
| Objective To evaluate the relation between imaging manifestations and pathologic types of congenital cystic adenomatoid malformation (CCAM) in children. Methods X-ray and CT findings in 10 patients with CCAM pathologically proven were retrospectively reviewed. According to the largest diameter of the cyst on CT, CCAM were classified as large cystic (＞2 cm), small cystic (≤2 cm) and solid, then were compared with the Stocker types. Results Three kinds of appearances were detected in the chest X-ray, including pneumothoracic-like change in 2 patients, multiple cyst change in 6 and pneumonia-like change in 2 patients. CT manifestations included large cystic (n=5), small cystic (n=4) and solid (n=1). All of the large cystic group were Stockers typeⅠ, three of the small cystic group were Stockers typeⅡ, the other one was Stockers typeⅠ. One patient diagnosed as solid was Stockers type Ⅱ. Conclusion CT is a reliable method in diagnosing CCAM. Based on imaging manifestations observed on CT, the pathologic type of CCAM might be predicted. |
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