支气管树各部位肺类癌的CT影像表现

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Abstract Objective To analyze the CT imaging characteristics of pulmonary carcinoid in different locations of airway. Methods Thirty cases of pulmonary carcinoid admitted to the First Affiliated Hospital of Guangzhou Medical University from January 2015 to December 2020 were retrospectively selected as the research objects. All patients underwent the plain, arterial and venous CT scan. The location, size, margin, density, enhancement degree, area of necrosis, calcification and lymph node metastasis were observed. Results According to lesions′ location in the airway, the lesions were divided into the central type, the hilar type, and peripheral type. According to lesions′ location in the airway, total 30 cases included 7 cases of central type, 9 cases of hilar type, and 14 cases of peripheral type. In 7 cases of central type, 4 nodules and 3 masses mainly located in trachea or main bronchial lumen. Especially, all masses were accompanied by extratubular growth. Nine cases of hilar type included 8 nodules and 1 mass in lobar or segmental bronchus, whose accompanied symptoms included 2 cases of pulmonary atelectasis, 1 case of mucous embolus in distal bronchial lumen, and 6 cases of obstructive inflammation. 14 cases of peripheral type in small bronchus (that is below the segmental bronchus) had 12 nodules and 2 masses, in which 11 cases had lobulation sign. The solid part of 90% lesions had moderate or severe enhancement in arterial phase, and the solid part of 100% lesions had moderate or severe enhancement in the venous phase. In 30 cases of pulmonary carcinoid, 18 cases showed patchy low-density area in the lesion and 12 cases showed no low-density. Only six cases of Hilar and mediastinal lymphadenopathy metastases were observed. All cases were surgically removed or biopsied, which included 17 cases of typical and 13 cases of atypical carcinoid. Conclusion Pulmonary carcinoid has different typical imaging manifestations in different location of tracheal bronchial tree. The density and enhancement are also distinctive for pulmonary carcinoid.

Key words： Cancinoid Lung Airway Tomography X-ray

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	LI Lin
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Cite this article:

LI Lin,LI Xian. CT imaging characteristics of pulmonary carcinoid in different location of airway[J]. 中国当代医药, 2022, 29(20): 126-129转134.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I20/126

[1]	聂敏，陈晨，辛华，等.肺神经内分泌肿瘤的CT表现[J].医学影像学杂志，2015，25（10）：1785-1787.
[2]	曾亮，邹海华，崔灿，等.肺少见神经内分泌肿瘤的CT诊断（附38例分析）[J].放射学实践，2017，32（12）：1266-1270.
[3]	谭婉嫦，冯结映，赖文佳，等.肺类癌的CT表现分析[J].CT理论与应用研究，2021，30（4）：519-524.
[4]	孙艳，宋晓睛，邓静敏，等.肺类癌19例临床特征分析[J].广西医科大学学报，2018，35（12）：1703-1706.
[5]	GosainＲ，Mukherjee S，Yendamuri SS，et al．Management of typical and atypical pulmonary carcinoids based on different established guidelines[J]．Cancers（Basel），2018，10（12）：510．
[6]	李慧，彭洋，孙炎平，等.多发性内分泌肿瘤综合征影像诊断并实例分析[J].临床放射学杂志，2019，38（10）：1982-1987.
[7]	Modlin IM，Sandor A：An analysis of 8305 cases of carcinoid tumors[J].Cancer，1997，79（4）：813-829.
[8]	刘晓菲，李帝，赵飞.肺类癌18F-FDG PET/CT表现[J].中国医学影像技术，2019，35（2）：315-316.
[9]	Halperin DM，Shen C，Dasari A，et al.Frequency of carcinoid syndrome at neuroendocrine tumour diagnosis：a population-based study[J].Lancet Oncol，2017，18（4）：525-534.
[10]	Samiee-rad F，Zangivand AA，Soleimanitadi K，et al.Primary typical pulmonary carcinoid tumor：an incidental finding[J].Comp Clin Pathol，2018，27（1）：261-264.
[11]	莫森林，梁燕珊，倪志文，等.原发性中央型肺类癌的CT表现[J].实用放射学杂志，2019，35（12）：1922-1925.
[12]	梁联哨，宋晓睛，邓静敏.肺类癌研究进展[J].国际呼吸杂志，2015，35（19）：1506-1509.
[13]	谭婉嫦，冯结映，赖文佳，等.肺类癌的CT表现分析[J].CT理论与应用研究，2021，30（04）：519-524.
[14]	吕军，张洪，马延贺，等.中心气道肿瘤CT影像分析思路[J].中国中西医结合外科杂志，2019，25（4）：609-613.
[15]	李小雪，蒲红.CT诊断及鉴别诊断原发性肺类癌（附10例分析）[J].中国医学影像技术，2020，36（1）：142-143.
[16]	郑晓涛，李靖煦，关玉宝，等.周围型肺不典型类癌的CT表现[J].广东医学，2017，38（13）：2005-2008.
[17]	崔学武，王西昌，王鹤，等.肺类癌高分辨率CT影像特征分析[J].宁夏医学杂志，2019，41（5）：466-468.
[18]	李嫣，杨琴，夏黎明．气管支气管少见原发肿瘤的影像分析[J]．放射学实践，2018，33（11）：1156-1161．
[19]	Wolin EM．Advances in the diagnosis and management of well-differentiated and intermediate-differentiated neuroendocrine tumors of the lung[J]．Chest，2017，151（5）：1141-1146．
[20]	方政雄，康正武.肺原发性类癌CT影像分析[J].实用医学影像杂志，2021，22（05）：491-493.
[21]	宋国栋，吴珍，徐嘉雯，等.周围型肺类癌的CT表现及强化特点（附12例分析）[J].医学影像学杂志，2021，31（12）：2053-2056.
[22]	徐嵩，李雄飞，陈军.原发性肺类癌的治疗进展与展望[J].中国肿瘤临床，2018，45（1）：47-52.
[23]	郑后珍，谈瑞生.原发性支气管肺类癌的CT表现及病理对照研究[J].医学影像学杂志，2021，31（11）：1975-1978.
[24]	黄亚男，赵振华，毛海佳，等.不同病理类型肺癌磁共振定量灌注直方图参数、表观扩散系数与Ki-67相关性分析[J].中华医学杂志，2019，99（21）：1645-1650.
[25]	Boyaci H，COrtük M，Gül S，et al.Results of bronchoscopic excision in typical carcinoid tumors of the lung in Turkey[J].Med Glas（Zenica），2017，14（1）：61-66.