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Results 28 cases of permeative node changes in lung, 25 cases of permeative spot and ground glass changes, 11cases of permeative griding and alveolate changes(64 cases in all). Making 75 times biopsy in regard to 64 cases.

结果 对28例弥漫性小结节病变、25例弥漫性斑片及磨玻璃状病变、11例弥漫性网格及蜂窝状病变(共64例)进行了75次切割活检,切割取材成功率 96.88%(62/64);病理检查确诊率91.94%(57/62),检查结果假性率17.74%(11/62),并发症发生率23.44%(15/64)。

HRCT(high resolution computed tomography) at present has been the perfect technique of CT in the spatial and contrast resodution and the best imaging method of assessments of small sati solitary nodular lesions and bronchiolar diseases in the lungs.

高分辨率 CT目前是一种使空间和密度分辨率尽可能完善的 CT技术,是当今评价肺内小结节性病灶和细支气管疾病最理想的影像方法。

Results 6 patients with PAP presented with ground-glass opacification of the bilateral lungs on HRCT. Typical chest HRCT scan showed "map-like" lesions in 3 cases and "cobble stone-like" lesions in 3 cases. Multifocal consolidative opacities in the lungs were seen on HRCT in 3 cases. Lung biopsies from 6 patients with PAP revealed a prominent positive periodic acid-Schiff intra-alveolar exudates. There were normal alveolar spetasis in 3 patients while interstitial thickening, fibroblast hyperplasia, interstitial fibrosis in the others.

结果 6例患者在不同层面可见磨玻璃影,其中2例可见小结节影;3例表现为两肺斑片状磨玻璃影与周围肺组织分界清楚,呈地图样改变;3例因磨玻璃影与小叶间隔增厚交织成铺路石样改变;3例可见肺泡实变融合成密度较高的斑片状阴影,1例在肺泡实变区可见&空气支气管征&。6例患者活检肺组织在光镜下显示肺泡腔内充满大量块状或颗粒状嗜伊红物质,PAS染色阳性,AB染色阴性,其中3例肺泡间隔正常,3例肺泡间隔增宽,可见慢性炎性细胞浸润、成纤维细胞增生和胶原沉积。

Results The splenic infraction was showed triangular or unr egular low density regions which had no enhancement,Metastasis tumor of spleen had imaged cystiform low density single or several masses,The patho logicai presented little nodular or circle enhancement.Primary lymphoma of spleen had presented part range low density regions and uneven enhancement .

结果 脾梗塞呈三角形或不规则形低密度区,病变无强化;脾转移瘤为囊状低密度肿块,单发或多发,病灶呈小结节状或环形强化;脾原发恶性淋巴瘤,呈局灶性低密度区和不均匀强化。

The consolidation and ill-defining diffuse nodule appeared in 8 cases, air bronchogram in 11 cases, bulging of the interlobar fissure in 4 cases,heterogeneous consolidation in 7 cases, cystic airspaces in 6 cases, and the CT angiogram sign in 2 cases, the consolidation were peripherally distributed in 15 out of 18 cases.

结果:18例肺炎型肺癌影像学表现两肺多发性分布7例,叶性分布8例,段性分布3例,所有病例均有实变存在,外周分布的15例,伴有不规则小结节的为8例,空气支气管征的11例,叶间裂向外突出的4例,实变影不均匀分布7例,不规则小囊腔6例,CT血管征2例。

Imaging finding of pneumonic-type bronchioloalveolar carcinoma shows a peripheral consolidation, air bronchogram, bulging of the interlobar fissure, CT angiogram,cystic airspaces and so on.

肺炎型肺癌表现为典型的外周分布,空气支气管征、不规则小结节、叶间裂外突、多发小囊腔样改变等,但与感染性肺炎很难区分。

[Objective] To explore the clinical value of CT-guided needle biopsy of the small intrapulmonary nodules(less than 2 cm in diameter).

目的]探讨CT导引肺内小结节(≤2cm)穿刺活检的临床应用价值。

Randomized comparison of Mohs micrographic surgery and surgical excision for small nodular basal cell carcinoma: tissue-sparing outcome.

随机比较Mohs显微外科手术和手术切除治疗小结节性基底细胞癌:组织保留性结果。

Results Myoid/myofibroblastic differentiation occurred most commonly in fibrosarcomatous DFSP. It was recognized histologically as peripherally distributed or randomly scattered small eosinophilic nodules or short bundles, which were composed of bland spindle cells, closely resembling smooth muscle cells or myofibroblasts.

结果 肌样/肌纤维母细胞性分化多出现在纤维肉瘤型DFSP中,表现为肿瘤周边部或肿瘤内散在性分布的深嗜伊红色小结节或短条束,由梭形细胞组成,细胞多无异型性,核分裂象也罕见,形态上似平滑肌细胞或肌纤维母细胞。

CT screening for lung cancer: Frequency and significance of part-solid and nonsolid nodules.

邱建国。以孤立小结节为表现的肺癌CT诊断。

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