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原发性肺淋巴上皮瘤样癌的影像学表现:附10例报告及文献复习
引用本文:龚岩,陈卫国,叶华秀,郑彤,张玲.原发性肺淋巴上皮瘤样癌的影像学表现:附10例报告及文献复习[J].南方医科大学学报,2010,30(6).
作者姓名:龚岩  陈卫国  叶华秀  郑彤  张玲
作者单位:南方医科大学南方医院放射科,广东,广州,510515
摘    要:目的 探讨原发性肺淋巴上皮瘤样癌的影像学表现特点.方法 回顾性分析经手术和(或)病理证实的10例肺淋巴上皮瘤样癌临床病理、X线胸片及CT扫描资料,并复习文献.结果 临床主要表现为咳嗽、咳痰5例,咳血丝痰2例.胸闷3例,胸痛3例,发热2例,3例为体检发现,无明显症状.本组病例影像上主要表现为周围型肿块或结节,直径在2_3~12.4 cm.有浅分叶者7例,有毛刺征者3例,胸膜凹陷者3例.5例行CT增强扫描,肿块呈轻到中度,3例强化不均匀.结论 肺淋巴上皮瘤样癌影像学有一定特征性,但X线与CT表现仅能提示诊断,术前确诊需经支气管内窥镜活检或经皮肺穿活检.

关 键 词:肺肿瘤  淋巴上皮瘤样癌  X线平片  体层摄影术  X线计算机

Imaging features of primary pulmonary lymphoepithelioma-like carcinoma: report of 10 cases and literature review
GONG Yan,CHEN Wei-guo,YE Hua-xiu,ZHENG Tong,ZHANG Ling.Imaging features of primary pulmonary lymphoepithelioma-like carcinoma: report of 10 cases and literature review[J].Journal of Southern Medical University,2010,30(6).
Authors:GONG Yan  CHEN Wei-guo  YE Hua-xiu  ZHENG Tong  ZHANG Ling
Affiliation:GONG Yan,CHEN Wei-guo,YE Hua-xiu,ZHENG Tong,ZHANG Ling Department of Radiology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China
Abstract:Objective To study the imaging features of primary pulmonary lymphoepitheliom-like carcinoma(LELC).Methods Ten cases of primary pulmonary LELC were confirmed by surgery and pathology.The findings in clinical pathology,X-ray and CT were retrospectively analyzed and the related references were reviewed.Results The clinical manifestations included coughing(5 cases),hemoptysis(2 cases),chest distress(4 cases),thoracodynia(3 cases),and fever(2 cases),with 3 cases being asymptomatic.Radiographically,primary pulmo...
Keywords:lung cancer  lymphoepitheliom-like carcinoma  X-ray plain film  tomography  X-ray computed  
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