表现为纯磨玻璃密度的浸润性肺腺癌的影像特征研究进展
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摘要
肺部纯磨玻璃结节(pure ground-glass nodule, pGGN)是常见的影像学表现,随着pGGN检出率的增加,准确评估结节良恶性,可以尽早为临床制定合理的诊疗方案。本文通过收集和分析近年来文献中有关p GGN影像特征在判断表现为纯磨玻璃密度和混杂密度肺腺癌的侵袭性方面的研究进展,并对其进行综述。
The pure ground-glass nodule(pGGN) is a common imaging manifestation. With the increase of pGGN detection rate, the accurate evaluation of nodule malignancy can make reasonable diagnosis and treatment plan for clinic as soon as possible. This paper collected and analyzed the research progress of pGGN image characteristics in determining the invasiveness of pure ground glass density and mixed density lung adenocarcinoma in recent years,and summarized it.
The pure ground-glass nodule(pGGN) is a common imaging manifestation. With the increase of pGGN detection rate, the accurate evaluation of nodule malignancy can make reasonable diagnosis and treatment plan for clinic as soon as possible. This paper collected and analyzed the research progress of pGGN image characteristics in determining the invasiveness of pure ground glass density and mixed density lung adenocarcinoma in recent years,and summarized it.
引文
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[10] Liu Y,Sun H,Zhou F,et al.Imaging features of TSCT predict the classification of pulmonary preinvasive lesion,minimally and invasive adenocarcinoma presented as ground glass nodules[J].Lung Cancer,2017,108:192-197.
[11] Jin X,Zhao SH,Gao J,et al.CT characteristics and pathological implications of early stage(T1N0M0)lung adenocarcinoma with pure ground-glass opacity[J].European radiology,2015,25(9):2532-2540.
[12] Kitami A,Sano F,Hayashi S,et al.Correlation between histological invasiveness and the computed tomography value in pure ground-glass nodules[J].Surg Today,2016,46:593-598.
[13] Liu LH,Liu M,Wei R,et al.CT findings of persistent pure ground glass opacity:can we predict the invasiveness[J].Asian Pac J Cancer Prev,2015,16(5):1925-1928.
[14] Kobayashi Y,Mitsudomi T.Management of ground-glass opacities:should all pulmonary lesions with groundglass opacity be surgically resected[J].Transl Lung Cancer Res,2013,2(5):354-363.
[15]葛欢,王振光,刘思敏,等.表现为纯磨玻璃结节的浸润性肺腺癌的PET-CT特征分析[J].中华放射学杂志,2017,51(6):422-426.
[16] Heyneman LE,Patz EF.PET imaging in patients with bronchioloalveolar cell carcinoma[J]. Lung Cancer,2002,38(3):261-266.
[17] Hu L,Pan Y,Zhou Z.Application of positron emission tomography-computed tomography in the diagnosis of pulmonary ground-glass nodules[J].Exp Ther Med,2017,14:5109-5113.
[18] Divisi D,Barone M,Zaccagna G.Fluorine-18fluorodeoxyglucose positron emission tomography in themanagemenrt of solitary pulmonary nodule:a review[J]. Ann Med,2017,49(7):626-635.
[19] Kim TJ,Park CM,Goo JM,et al.Is there a role for FDG PET in the management of lung cancer manifesting predominantly as ground-glass opacity?[J].Am J Roentgenol,2012,198(1):83-88.
[2] Travis WD,Brambilla E,Noguchi M,et al.International association for the study of lung cancer/american thoracic society/european respiratory society international multidisciplinary classification of lung adenocarcinoma[J].J Thorac Oncol,2011, 8(5):381-385.
[3] Detterbeck FC, Homer RJ.Approach to the ground-glass nodule[J].Clin Chest Med, 2011,32(4):799-810.
[4] Kim H Y,Shim YM,Lee KS,et al. Persistent pulmonary nodular ground-glass opacity at thin section CT:histopathologic compare-isons[J].Radiology,2007,245(1):267-275.
[5] Maeshima AM,Tochigi N,Yoshida A,et al.Clinicopathologic analysis of multiple(five or more)atypical adenomatous hyperplasias(AAHs)of the lung:evidence for the AAH-adenocarcinoma sequence[J].J Thorac Oncol,2010,5(4):466-471.
[6] Zhang Y,Shen Y,Qiang JW,et al.HRCT features distinguishing pre-invasive from invasive pulmonary adenocarcinomas appearing as ground-glass nodules[J].Eur Radiol,2016,26(9):2921-2928.
[7] Si MJ,Tao XF,Du GY,et al.Thin-section computed tomography-histopathologic comparisons of pulmonary focal interstitial fibrosis, atypical adenomatous hyperplasia,adenocarcinoma in situ, and minimally invasive adenocarcinoma with pure ground-glass opacity[J].Eur J Radiol,2016,85(10):1708-1715.
[8] Lee SM,Park CM,Goo JM,et al.Invasive pulmonary adenocarcinomas versus preinvasive lesions appearing as ground-glass nodules:differentiation by using CT features[J].Radiology,2013,268(1):265-273.
[9]左玉强,冯平勇,孟庆春,等.肺纯磨玻璃结节微浸润腺腺癌与浸润性腺癌的CT鉴别诊断[J].临床放射学杂志,2017,36(4):495-498.
[10] Liu Y,Sun H,Zhou F,et al.Imaging features of TSCT predict the classification of pulmonary preinvasive lesion,minimally and invasive adenocarcinoma presented as ground glass nodules[J].Lung Cancer,2017,108:192-197.
[11] Jin X,Zhao SH,Gao J,et al.CT characteristics and pathological implications of early stage(T1N0M0)lung adenocarcinoma with pure ground-glass opacity[J].European radiology,2015,25(9):2532-2540.
[12] Kitami A,Sano F,Hayashi S,et al.Correlation between histological invasiveness and the computed tomography value in pure ground-glass nodules[J].Surg Today,2016,46:593-598.
[13] Liu LH,Liu M,Wei R,et al.CT findings of persistent pure ground glass opacity:can we predict the invasiveness[J].Asian Pac J Cancer Prev,2015,16(5):1925-1928.
[14] Kobayashi Y,Mitsudomi T.Management of ground-glass opacities:should all pulmonary lesions with groundglass opacity be surgically resected[J].Transl Lung Cancer Res,2013,2(5):354-363.
[15]葛欢,王振光,刘思敏,等.表现为纯磨玻璃结节的浸润性肺腺癌的PET-CT特征分析[J].中华放射学杂志,2017,51(6):422-426.
[16] Heyneman LE,Patz EF.PET imaging in patients with bronchioloalveolar cell carcinoma[J]. Lung Cancer,2002,38(3):261-266.
[17] Hu L,Pan Y,Zhou Z.Application of positron emission tomography-computed tomography in the diagnosis of pulmonary ground-glass nodules[J].Exp Ther Med,2017,14:5109-5113.
[18] Divisi D,Barone M,Zaccagna G.Fluorine-18fluorodeoxyglucose positron emission tomography in themanagemenrt of solitary pulmonary nodule:a review[J]. Ann Med,2017,49(7):626-635.
[19] Kim TJ,Park CM,Goo JM,et al.Is there a role for FDG PET in the management of lung cancer manifesting predominantly as ground-glass opacity?[J].Am J Roentgenol,2012,198(1):83-88.