| 摘要: |
| 目的探讨局限性肺部磨玻璃影（focal ground—glass opacity，fGGO）与早期肺癌的关系。方法回顾性分析48例CT表现为局限性肺部磨玻璃影的病例，其中手术治疗45例，并与术后病理类型进行对照比较。结果45例手术治疗的病例术后病理提示腺癌17例，支气管肺泡细胞癌19例，肺不典型腺瘤样增生4例，炎症5例，所清扫的淋巴结均无转移。结论局限性肺部磨玻璃影常常是早期肺癌的表现，应根据磨玻璃病灶的类别、大小、内部结构判断其性质，对于fGGO应及早进行手术治疗。 |
| 关键词: 局限性肺部磨玻璃影 腺癌 支气管肺泡细胞癌 不典型腺瘤样增生 |
| DOI：10.3969/j.issn1008-0392.2013.01.020 |
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| 基金项目: |
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| Significance of focal ground-glass opacity in CT images for diagnosis of early lung cancer |
| SHEN Liang,HUANG Hai-tao |
| (Dept.of Cardiothoracic Surgery,Nantong First People’s Hospital,Nantong 226001,Jiangsu Province,China) |
| Abstract: |
| Objective To evaluate the significance of focal ground-glass opacity （fGGO） in the lung CT images for diagnosis of early lung cancer. Methods Forty eight patients underwent high resolution CT scan and fGGO was presented on CT imagines of the lung. Among them 45 received surgical treatment, the relationship of fGGO and pathological features of lung lesions were retrospectively analyzed. Results Among 45 patients with fGGO in CT images, pathological examinations revealed adenocarcinoma in 17 cases, bronchioloalveolar carcinoma in 19 cases, atypical adenomatous hyperplasia in 4 cases and inflammation in 5 cases; no lymph node metastasis was found. Conclusion Focal ground-glass opacity is often an important sign of early lung cancer; according to the type, size and internal structure of fGGO surgical intervention may be recommended. |
| Key words: focal ground-glass opacity adenocarcinoma bronchioloalveolar carcinoma atypicaladenomatous hyperplasia |
