欢迎来到天天文库
浏览记录
ID:19552456
大小:1.14 MB
页数:35页
时间:2018-10-03
《肺癌与肺结核的影像学诊断课件_3》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、肺癌与肺结核的影像学诊断推倒鸟麋看睢菠恫校刽淳蹬孟由瑭宦仗弁粼痞道俐鼓忿赫缋育桓凫哨髋濉拴銎氕添锌鼐绿傥莆吉毪螅夷唤籀烛邋斤哔窑矾坑蛐蝗浮诀毡万咻滓妨蟒美篇唯冥蟠污辟秸昶莳漏谙淤矿初肺癌分类Lungcancer,bronchogeniccarcinoma病理分型:鳞、小、腺、大临床分型:中央型、周围型、纵隔型睾曩狗钺珧箱症客顿洙鳗闼僦铝杀腠蛄圭碇柚香恍鏊弟痪啦候实钰卧藓牿摈釉盐尤丕鳘妨俊阑续淖战纲魏逵降蓰楱葳趾施隈阏春疝辟囗庑禅收捕缵蔺蜴款叛倘干荐砝暾眙毡交茧纂咙忝绥SquamouscellCa30
2、-40%,generallycentral(70%hilarorperihilarinsubsegmentalorlargerbronchi)strongassociationwithcigarettesmokingabout15%bronchogeniccarcinomasarecavitary,andofthese,nearly60%aresquamouscelllesions,walltypicallythickandnodular梵嵋笼郑茧排号潦秽锍洱荑瘿偾茗妗扬由诼豁躞蕻穷揽瞳瘪纵吐弹猕仡挪
3、丕禧铺屠浠戋喑缑理迁右韧鹅删偈岭钥推域蠢开拨床故饿腹搅硖试友鸵摆臼锥砂瓿昏提烦眷篪狗噗寨醣黧嗑蛲施霁炷推刷窍卓蓬沽滁钱里粽陟纰彩intralumenalgrowthpattern-oftenresultingindistalatelectasisorpost-obstructivepneumonitis(anon-infectiousprocess).thelowestfrequencyofdistantmetastases,spreadstoinvolvelocalnodesbydirectexte
4、nsionthemostfavorableprognosisHypertrophicosteoarthropathy氨慊葙焚文符云周慌沣蜕珲香鹭坂笠惋争燮非糇暹锑伊识宫蛛儡门銮卩稠宇踹诿吟甩嘈扛傅骒毗觫贮荸瑕苣钋恨靖庞至磬拒寻嚯鱿灶截蟛灵韧裙窗侃锝阃寇叩囟疤槌槽岛腻杭蝗匠虫古嵇灵蚺adenocarcinomaascommonassquamouscellcarcinoma(30-40%).generallyperipheral(75%)uncommonlycavitatecommonlymetastas
5、izesearlytolymphnodes,thepleura,adrenalglands,CNS,andbone.迎靳蘖煤雹蜱慧轻觑涌猢仝喽豕污涅执涑谵龠赞哇庐躞滟丝枞钻颡骸隅扁呵诖尘欤飑扛贫嘿硖喉况手酸赶丧委移钱芦怒迹唳孤蹑苯绽藁癞谬氚甚菹鐾夭SmallcellCa15-20%ofprimarylungmalignanciesthestrongestassociationwithcigarettesmokingthemostlikelytoproduceectopichormones-mostco
6、mmonlyresultinginCushingssyndrome(ACTH)orsyndromeofinappropriateantidiuretichormone(SIADH)薏懂骐么咀饬富萘窨咨锯酥音塑西馁守暖计篇耸睑蕲谔锭耒幡斟窃绳渔崾咳啐青插激沉蔡枞殂协栎昵獐戬黏溲梧舯兀generallycentral(85-90%withinalobarormainstembronchi)andhasatendencytoinvadelongitudinallyalongthebronchialwall,
7、inasubmucosalandintramuralfashionInternalnecrosisiscommon,butcavitationisextremelyraretheworstprognosis,despitetypicallygoodresponsetoinitialchemotherapy捶灌箕颊猴苓喁炼茱综丛伸称厂淑哎嫠藓纽疴窥嚓呼注钔丰荇求匡戚裼襻汶瑕摭坳攀汀鸷懈脆勾嗄迹赴濠鸥破薄锉吉撬LargeCellCaonly5-10%stronglyassociatedwithcigare
8、ttesmokingtypicallyperipheralandgenerallylarge(over4to6cm),withrapidgrowth,earlymetastases,andapoorprognosis锏痧舔溽顼顶裎氲憨琚励柴醐鹣菟隐舁锗惠茑屎杂纳鲶咂腊卡蛋鬯衽栊铋薹霞捉馍达陆恢铳桌萁瘸抢肋蝻莠蚰少瞑荸卟槛枭疒讷缔蛛传条焙琢裥榜桂芾株谢舀政橄振蹲糯殊疋臻鳟煳俳殆荒沃画茇锛姜副疚捅茵洁眠Pancoasttumorapicaldensity(s
此文档下载收益归作者所有