Bronchioloalveolar carcinoma: Focal area of ground-glass attenuation at thin-section CT as an early sign

被引:149
作者
Jang, HJ
Lee, KS
Kwon, OJ
Rhee, CH
Shim, YM
Han, J
机构
[1] SAMSUNG MED CTR,DEPT RADIOL,KANGNAM KU,SEOUL 135230,SOUTH KOREA
[2] SAMSUNG MED CTR,DEPT PULM MED,KANGNAM KU,SEOUL 135230,SOUTH KOREA
[3] SAMSUNG MED CTR,DEPT THORAC SURG,KANGNAM KU,SEOUL 135230,SOUTH KOREA
[4] SAMSUNG MED CTR,DEPT DIAGNOST PATHOL,KANGNAM KU,SEOUL 135230,SOUTH KOREA
关键词
lung neoplasms; CT; diagnosis; staging;
D O I
10.1148/radiology.199.2.8668800
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess an early thin-section computed tomographic (CT) finding of the localized formation of bronchioloalveolar carcinoma (BAC). MATERIALS AND METHODS: From October 1994 to September 1995, four consecutive patients with biopsyproved BAC were studied. Thin-section CT (n = 4), radiographic (n = 4), pathologic (n = 4), and positron emission tomographic (n = 2) findings were analyzed. RESULTS: Chest radiographs showed focal areas of poorly defined nodules (n = 2) and poorly defined opacity (n = 2). At thin-section CT, lesions appeared as isolated areas of ground-glass attenuation (n = 2) and mixed areas of ground-glass attenuation and consolidation (n = 2). The areas of ground-glass attenuation were 1.8-11 cm in longest diameter. A focal, isolated area of ground-glass attenuation changed into mixed areas with consolidation at serial CT in one patient. Mucinous and nonmucinous BACs were observed in two patients each. Positron emission tomography showed false-negative results for malignancy. CONCLUSION: Focal areas of ground-glass attenuation at CT could be an early sign of localized BAC.
引用
收藏
页码:485 / 488
页数:4
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