肺癌的胸膜改变与病理类型关系

Relationship between pleural changes of lung cancer and pathologic classification

关键词:  肺癌  胸膜改变  CT  螺旋扫描

Key words:  lung cancer  pleural changes  computed tomography  helical scan

摘要:

［目的］ 探讨肺癌的胸膜改变与病理类型的关系。［方法］ 回顾性分析大连医科大学第二临床学院2003年5月～2004年8月，61例肺癌并胸膜改变手术的病人CT表现。［结果］ 肺鳞癌19例，胸膜增厚14例，占鳞癌的73.7%；腺癌30例，胸膜增厚及胸膜凹陷分别是18例和14例，占60%和47%。［结论］ 中早期肺鳞癌的胸膜改变以胸膜增厚为主，腺癌胸膜改变以胸膜增厚和胸膜凹陷为主。影像诊断为临床提供了重要的参考价值。

Abstract:

［Objective］ To explore the relationship between the pleural changes of lung cancer and pathologic classification retrospectively .［Methods］ Sixty-one patients with pleural changes perfumed CT examination and all the were lung cancer confirmed by-pathology. ［Results］ Nineteen patients who were squamous carcinoma show pleural thickness (73.7%);30 patients who were adenocarcinoma manifested pleural thickness in 18 cases (60%) and pleural concavity in 14 cases (47%) respectively. ［Conclusion］ Squamous carcinoma in early and advanced stages always showed pleural thickness; whereas adenocarcinoma of lung cancer mainly appeared pleural thickness and pleural concavity, CT manifested of pleural changes can provide valuable information for clinical treatment.