【摘要】 目的:探讨成人先天性肺囊性病变的影像学特点以及与肺癌的关系。方法:对23例经外科手术切除病理证实的成人先天性肺囊性病变,进行影像学分析,并系统复习文献。结果:支气管源性肺囊肿12例(52.2%);先天性囊性腺瘤样畸形5例(21.7%),其中1例伴发黏液性原位腺癌(LASLC/ATS/ERS 2011年版肺癌新分类),1例伴发鳞癌;肺隔离症6例(26.1%)。结论:成人先天性肺囊性病变最常见类型,是支气管源性肺囊肿。先天性囊性腺瘤样畸形少见,诊断过程中如怀疑先天性囊性腺瘤样畸形,应警惕发生肺癌的危险。更多还原

【Abstract】 Objective:To study the imaging characteristics of adult congenital cystic lung lesions and correlation with lung cancer.Methods:Retrospectively studied imaging characteristics of 23 cases with congenital cystic lung lesions proved pathologically.Results:12 cases of bronchogenic cysts(52.2%),5 cases of congenital cystic adenomatoid malformation(CCAM)(21.7%),6 cases of bronchopulmonary sequestration(26.1%).One case of CCAM was associated with mucinous adenocarcinoma in situ(LASLC/ATS/ERS 2011),another case of CCAM was associated with squamous cell carcinoma.Conclusion:Bronchogenic cyst is common in adult congenital cystic lung lesion,CCAM is quite rare.Carcinoma should be considered when diagnosis is CCAM.更多还原