- 期刊
- OpenAccess
ROENTGENOGRAPHIC APPEARANCE OF BRONCHOGENIC CARCINOMA
支氣管癌的X光徵象
摘要
Chest films of 517 patients in whom 291 cases had histologic diagnosis and 226 cases had cytologic diagnosis from January 1, 1972 to July 31, 1976 were reviewed and classified according to cancer cell types , and in terms of the roentgenographic abnormalities as described by Mayo Clinic. About half of all patients were epidermoid carcinoma. The common roentgenographic manifestations of this cell type were: parenchymal mass (49.5%), collapse (30 .7%), hilar mass (17.2%) and pleural effusion (15.5%). The frequent x-ray findings of adenocarcinoma which consisted of 27.5% of our patients were: parenchymal mass (72.6%), pleural effusion (26. 1%) and multiple masses (16.2%), the last finding was relative rare in other cell types. While the small cell carcinoma made up 18% of patients in our series, the most and decreasing frequency of roentgen pictures were parenchymal mass (41%), collapse (30.2%), hilar mass (23.5%) and pneumonitis as well as pleural effusion (19.4% for both). The major x-ray evidences of large cell carcinoma were parenchymal mass (60%) and collapse (24%) , the other signs such as mediastinal mass, pleural effusion and hemidiaphragm elevation were equally common (16%). Hilar prominence (12%) was often appeared in large cell carcinoma but was quite rare in other cell types. Hypertranslucency had not been observed in this study. There were 4 apical tumors in our series and appeared in all cell types except large cell carcinoma. Nine of ten cavitary tumors were epidermoid in nature. Chest wall invasion were equally rare (2.2-4.3%) in all cell types.
關鍵字
無資料並列摘要
複閱1972年1月1日至1976年7月31日進住榮民總醫說並診斷為支氣管癌病人517側的胸部X光片，按梅育診所提出的X光不正常影像，以觀察4種癌細胞所造成的X光徵象，結論如下:上皮細胞癌約占全體病人的半數，常見的X光徵象如肺實質腫瘤(49.5%)，肺萎陷(30.7%)、肺門腫瘤(17.2%)和肋膜積水(15.5%)。腺癌占27.5％的病例，肺實質腫瘤最多見(72.6%)，其中約1/4腫瘤是多發性，比較少見於其他類型，肋膜積水亦有26.1%。只有18%的病人是小細胞癌，常見的X光徵象有肺實質腫瘤(41％)，肺萎陷(30.2%)，肺門腫瘤(23.6%)，肺炎和肋膜積水都各占19.4%。大細胞癌在肺實質形成腫瘤亦高及60%，肺萎陷占24%，縱膈瘤、肋膜積水和一側橫隔膜上升各占16%，大細胞癌未出現過肺尖腫瘤，其餘3種細胞各有一例或兩例肺尖瘤。10個空洞性腫瘤之中9個屬上皮細胞癌。胸壁侵犯在4類細胞癌均同等的不常見(2.2-4.2%)。本研究並未發現局部性肺充氣現象。