The CT Characteristics of Pleural Lung Cancer and Misdiagnosis Analysis_West China Medical Journal

Authors：

 LANYu-mei ¹ ,  LIQi ² , LIULi ³ , HUANGXing-tao ⁴

1. Department of Radiology, Renshou People's Hospital, Renshou, Sichuan 620500, P. R. China;
2. Department of Radiology, the Fist Affiliated Hospital, Chongqing Medical University, Chongqing, 40016, P. R. China;
3. Department of Radiology, Chongqing Yubei People's Hospital, Chongqing, 401120, P. R. China;
4. Department of Radiology, the Fifth People's Hospital of Chongqing, Chongqing, 400062, P. R. China;

Corresponding?author：

LIQi, Email: zhuoshui@sina.com

Keywords：

Pleural lung cancer; Tomography, X-ray computed; Misdiagnosis

DOI：

10.7507/1002-0179.20140518

Video：

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Objective To discuss the CT characteristics of pleural lung cancer, and analyze the reason for misdiagnosis. Methods The CT data of 8 patients with pleural lung cancer confirmed by postoperative pathology and treated in Renshou People's Hospital and Fist Affiliated Hospital of Chongqing Medical University between January 2010 and December 2013 were retrospectively analyzed. Results Among the 8 cases of pleural lung cancer, 6 occurred on the left and 2 on the right; there were 3 nodular and 5 irregular masses; 6 had uniform density and 2 had irregular focus and relatively lower density; 4 had osteolytic destruction of adjacent ribs; 6 had pleural effusion; and 5 had mediastinal lymph nodes enlargement, in which 1 had multiple lymph node metastasis of left lung hilum, left supraclavicular region and left axillary. All the 8 cases were enhanced moderately. Conclusion Pleural lung cancer has certain featured manifestations on CT. Analyzing the features carefully, considering clinical symptoms, and cytological examination of hydrothorax can reduce the incidence of misdiagnosis.

Citation： LANYu-mei, LIQi, LIULi, HUANGXing-tao. The CT Characteristics of Pleural Lung Cancer and Misdiagnosis Analysis. West China Medical Journal, 2014, 29(9): 1701-1704. doi: 10.7507/1002-0179.20140518 Copy

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13.	許開喜.靠近側胸膜的周圍型肺癌的CT 表現及鑒別診斷中價值[J].醫用放射技術雜志,2005,233(1):36-38.
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15.	朱向會,楊運旗.肺炎型肺癌CT診斷的思考[J].西南國防醫藥,2010,20(6):610.
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1. 丁暉.胸膜型肺癌的螺旋CT診斷[J].中國輻射衛生,2008,17(4):498-499.
2. 高福平,魏謹.胸膜型肺癌診斷及分析1例[J].臨床肺科雜志,2012,17(6):1142-1143.
3. 季景田,朱海云.肺內孤立結節的MSCT 診斷及其限度(附28 例分析)[J].中外醫學研究,2011,9(27):59-60.
4. Seemann MD,Seemann O,Luboldt W,et al.Differentiation of malignant from benign solitary pulmonary lesions using chest radiography,spiral CT and HRCT[J].Lung cancer,2000,29(2):105-124.
5. 陳光輝,戴建華,苗福祿,等.胸膜纖維板型肺腺癌2例報告[J].實用癌癥雜志,2010,25(3):298.
6. 諶力群,韓凱濱,潘恒,等.胸膜轉移瘤的CT診斷價值[J].影像診斷與介入放射學,2007,16(3):121-122.
7. 胡浩,楊登法,楊建濤,等.惡性胸膜間皮瘤的CT診斷與鑒別診斷[J].實用放射學雜志,2013,29(2):209-211.
8. 劉志松,荊隨寧,王建洪,等.胸膜間皮瘤的CT診斷[J].中外醫學研究,2012,10(12):47-48.
9. 曲寧,王興義,羅婭紅,等.彌漫性胸膜間皮瘤的CT診斷[J].臨床放射學雜志,2010,29(6):832-834.
10. 全昌斌,敖國昆,李紅,等.胸壁結核的CT診斷[J].中華臨床醫師雜志·電子版,2011(20):5925-5929.
11. 張磊,周衍慧.胸壁結核的CT診斷[J].中國防癆雜志,2010,32(2):101-103.
12. Morris BS,Maheshwari M,Chalwa A.Chest wall tuberculosis:a review of CT appearances[J].Bri J Radiol,2004,77(917):449-457.
13. 許開喜.靠近側胸膜的周圍型肺癌的CT 表現及鑒別診斷中價值[J].醫用放射技術雜志,2005,233(1):36-38.
14. 唐宏波.肺內炎性結節的CT 表現與鑒別診斷[J].黑龍江醫學,2011,35(6):438-439.
15. 朱向會,楊運旗.肺炎型肺癌CT診斷的思考[J].西南國防醫藥,2010,20(6):610.
16. 孫旭怡.局限性機化性肺炎與周圍性肺癌的CT鑒別診斷[J].醫學理論與實踐,2012,25(9):1091-1092.
17. Kim YH,Lee KS,Primack SL,et al.Small pulmonary nodules on CT accompanying surgically resectable lung cancer:likelihood of malignancy[J].Thoracic Imaging,2002,17(1):40-46.
18. 李哀,顧軍,丁建國.不典型肺癌的CT表現分析[J].中國臨莊醫學,2002,9(6):671-673.
19. 王家強,劉光華,孫海輝,等.誤診為周圍性肺癌的15例炎性病變的CT分析[J].醫學影像學雜志,2002,12(1):22-25.

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