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肺癌骨转移胸部CT诊断价值

Pectoral CT diagnosis of skeletal metastasis in lung cancer

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【作者】 李宝兰王立振刘瑞宝

【Author】 LI Bao-lan,WANG Li-zhen,LIU Rui-bao.Department of Ridiology,Shenzhen Pinghu Hospital,Shenzhen,Guangdong,518111, China

【机构】 深圳市平湖人民医院放射科深圳市中医院放射科哈尔滨医科大学附属肿瘤医院介入科 广东深圳518111

【摘要】 目的通过总结35例肺癌骨转移患者的胸部CT的影像学表现特点,探讨胸部CT在肺癌骨转移诊断中的价值。方法回顾性分析35例肺癌骨转移瘤的CT影像资料,其中有普通X线摄影27例。结果35例骨转移瘤中23例有肋骨破坏,共发现41处肋骨受累,20例椎骨破坏中胸部CT发现转移灶38个,还有1例为胸骨转移。结论肺癌骨转移首先侵犯肋骨及椎骨,在观察胸部CT片时,作出正确及时的诊断,对肺癌的治疗和预后有着重要的临床意义。

【Abstract】 Objective To investigate the value of pectoral CT diagnosis of skeletal metastasis in pulmonary cancer. Methods The pectoral CT appearances of 35 cases of bone metastasis in pulmonary cancer were retrospectively analyzed, and compared with X-ray findings of 23 cases. Results In 23 costal metastasis, there were destroyed 41 ribs, while in 20 cases vertebral metastases, 38 corpus vertebrae were found destruction on pectoral CT scan. Another case was sternal metastases. Conclusion Costal bone and vertebrae are usually firstly destroyed in lung cancer. Making an exact diagnosis of pectoral CT is significant clinically for treatment and prognosis of lung cancer.

  • 【文献出处】 罕少疾病杂志 ,Journal of Rare and Uncommon Diseases , 编辑部邮箱 ,2007年01期
  • 【分类号】R734.2
  • 【被引频次】4
  • 【下载频次】96
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