肺部CT多发磨玻璃结节的病理诊断分析

被引：14

作者：

李亚男

张伟华

余秉翔

机构：

[1] 解放军总医院国际医学中心

来源：

解放军医学院学报 | 2014年 / 35卷 / 06期

关键词：

磨玻璃结节; 计算机体层摄影术; 肺肿瘤; 病理学;

D O I：

暂无

中图分类号：

R734.2 [肺肿瘤];

学科分类号：

100117 [系统生物医学];

摘要：

目的探讨影像上持续存在的多发磨玻璃结节(ground-grass opacity,GGO)在病理组织学上的特点。方法回顾分析本院2010年6月-2012年8月肺CT上存在磨玻璃结节且有病理诊断的病例,统计分析多发磨玻璃结节患者在病理诊断、影像特征等方面的特点,及其随访结果。结果 103例GGO患者中,表现为多发GGO 27例,孤立GGO 76例。多发GGO51个,包括不典型腺瘤样增生(atypical adenomatous hyperplasia,AAH)14个,细支气管肺泡癌(bronchoalveolar carcinoma,BAC)11个,腺癌18个,间质性肺炎4个,机化性肺炎2,肺结核2个;孤立GGO 76个,包括AAH 9个,BAC 20个,腺癌34个,机化性肺炎5个,间质性肺炎3个,肺出血2个,肺结核2个,错构瘤1个。多发GGO患者中女性(P=0.012 4<0.05)更多,病灶直径比孤立GGO小(P=0.017 5<0.05)、磨玻璃成分比例更高(P=0.030 3<0.05)。胸膜牵拉征在孤立GGO中更常见(P=0.014 9<0.05),多发GGO边缘光滑更常见(P=0.028 3<0.05)。除1例多发GGO患者,其他均无术后复发。结论肺多发磨玻璃结节的病理、影像特征与孤立磨玻璃结节有所不同。随访发现,这两种结节预后相似。

引用

页码：585 / 588

页数：4

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