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分析了100例肺腺癌的CT表现,并对照病理大切片解释其征象。旨在提高对肺腺癌的认识。均经手术和纤维支气管镜或锁骨上淋巴结或经皮穿刺活检证实。行常规CT扫描,待发现病灶结节后加局部病灶薄扫。采用Heizman法处理及观察标本,进行一对一的对比观察。资料表明,原发性肺腺癌在男性的发病率有所增加,本文男70例,女30例。临床症状主要与转移有关,故强调结合临床症状,寻找可能的CT征象。本文对肿瘤的分叶征、空气支气管征、瘤肺交界面的CT表现及病灶周围的常见病变,如各种不同表现的毛刺、病灶周围的肺间质改变的CT表现及病理基础进行了分析与探讨。强调了这些征象在肺腺癌CT扫描中的特异性表现。
The CT manifestations of 100 cases of lung adenocarcinoma were analyzed, and the signs were interpreted according to the large pathological sections. It aims to increase awareness of lung adenocarcinoma. All were confirmed by surgery and fibrobronchoscopy or supraclavicular lymph node or percutaneous biopsy. Conventional CT scans were performed, and a thin scan of local lesions was added after the lesion nodules were found. The Heizman method was used to treat and observe the specimens for one-on-one contrast observations. Data show that the incidence of primary lung adenocarcinoma in men has increased, this article 70 males and 30 females. Clinical symptoms are mainly related to metastasis, so it is important to combine clinical symptoms to find possible CT signs. In this paper, the CT appearances of airway bronchograms, air bronchograms, CT interfaces of tumors and lungs, and common lesions around the lesions, such as various manifestations of burrs, and the CT appearances and pathological basis of lesions around the lung were analyzed. And discussion. The specificity of these signs in CT scans of lung adenocarcinomas was emphasized.