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肺小细胞神经内分泌癌MDCT征象分析
引用本文:贾亚军,杨智,杨大兴,付兵,李春平,陈天武,杨帆,李睿.肺小细胞神经内分泌癌MDCT征象分析[J].CT理论与应用研究,2017,26(1):91-98.
作者姓名:贾亚军  杨智  杨大兴  付兵  李春平  陈天武  杨帆  李睿
作者单位:1. 成都市第五人民医院放射科, 成都 611130;
摘    要:目的:探讨肺小细胞神经分泌癌的MDCT表现特征。方法:对具有完整胸部MDCT资料并经病理证实的28例肺小细胞神经内分泌癌CT表现进行回顾性分析。结果:中央型肺小细胞神经内分泌癌18例(64%),支气管管壁增厚伴肺内肿块或结节17例(94%),纵隔或肺门淋巴结肿大15例(83%),增强扫描可见肿块与肿大淋巴结明显不均匀强化,周围型肺小细胞神经内分泌癌10例(36%),密度均匀,呈分叶状,强化明显,CT无特征性表现。结论:肺小细胞神经内分泌癌主要征象以支气管管壁增厚伴肺门区肿块为主,多伴有肺门、纵膈淋巴结转移。 

关 键 词:肺小细胞神经内分泌癌    肺肿瘤    诊断    体层摄影术    X线计算机
收稿时间:2016-05-29

Analysis of MDCT Features on Pulmonary Small Cell Neuroendocrine Tumor
JAYa-jun,YANG Zhi,YANG Da-xing,FU Bing,LI Chun-ping,CHEN Tian-wu,YANG Fan,LI Rui.Analysis of MDCT Features on Pulmonary Small Cell Neuroendocrine Tumor[J].Computerized Tomography Theory and Applications,2017,26(1):91-98.
Authors:JAYa-jun  YANG Zhi  YANG Da-xing  FU Bing  LI Chun-ping  CHEN Tian-wu  YANG Fan  LI Rui
Affiliation:1. Department of Radiology, Chengdu Fifth People's Hospital, Chengdu 611130, China;2. Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
Abstract:Objective: To explore CT features of pulmonary small cell neuroendocrine tumor. Methods: Imaging findings of 28 patients with pathologically confirmed pulmonary small cell neuroendocrine tumor were retrospectively analyzed, all patients underwent plain CT and contrast enhanced CT examinations. Results: There were 18 cases were central type. Mass or nodule in hilar or medisatina side and thick Bronchial wall were seen in 18 (88%). Hilar and mediastinal lymphadenopathy were seen in 15 (83%). Mass and lymph nodes were significantly heterogeneous enhancement with contrast enhanced CT examination. 10 cases fell into peripheral carcinoma without features of CT. Conclusion: Pulmonary small cell neuroendocrine tumor is mainly as bronchial wall thickening with mass, the tumor has homogeneous density with hilar and mediastinal lymph nodes.
Keywords:pulmonary small cell neuroendocrine tumor  lung cancer  diagnosis  tomography  X-ray computed
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