22例多发肺磨玻璃结节表现的肺腺癌临床分析
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摘要
文章回顾性分析22例以多发肺磨玻璃结节(ground-glass opacity,GGO)表现且经病理证实的肺腺癌患者的临床资料,对其初诊时主要症状、病程、既往史、合并症、家族史、肺部影像学表现、手术方式、病理结果及预后等进行整理分析,归纳其临床特点。GGO作为一种特征性影像学表现,缺乏特异性,多发GGO患者须建议定期随访,避免过度治疗。
引文
[1]中华医学会呼吸病学分会肺癌学组,中国肺癌防治联盟专家组.肺部结节诊治中国专家共识[J].中华结核和呼吸杂志,2015,38(4):249-254.
[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:executive summary[J]. Proc Am Thorac Soc,2011,8(5):381-385.
[3] Duann CW,Hung JJ,Hsu PK,et al. Surgical outcomes in lung cancer presenting as ground-glass opacities of 3cm or less:A review of 5 years’experience[J]. J Chin Med Assoc,2013,76(12):693-697.
[4]曹恩涛,于红,范丽,等.纯磨玻璃密度结节肺腺癌的CT三维定量分析[J].中华放射学杂志,2016,50(12):940-945.
[5]肖时满,张玉,强金伟,等.超高分辨率CT(UHRCT)鉴别肺原位腺癌(AIS)与微浸润腺癌(MIA)[J].复旦学报:医学版,2014,41(3):285-290.
[6]肖飞,梁朝阳.多原发肺癌的诊断治疗及预后判断[J].中华胸心血管外科杂志,2014,30(8):499-501,509.
[7]Chung JH,Choe G,Jheon S,et al. Epidermal growth factor receptor mutation and pathologic-radiologic correlation between multiple lung nodules with ground-glass opacity differentiates multicentric origin from intrapulmonary spread[J]. J Thorac Oncol 2009,4(12):1490-1495.
[8]Schneider F,Derrick V,Davison JM,et al. Morphological and molecular approach to synchronous non-small cell lung carcinomas:impact on staging[J]. Mod Pathol,2016,29(7):735-742.
[9]Bonanno L,Calabrese F,Nardo G,et al. Morphological and genetic heterogeneity in multifocal lung adenocarcinoma:The case of a never-smoker woman[J]. Lung Cancer,2016,96:52-55.
[10]米良,佟倜. GGO的影像学特征在老年肺癌中的诊断价值[J].中国老年学,2017,37(4):1023-1025.
[11]曹晓明,邓朝胜,林其昌,等.肺部磨玻璃样病变的诊治进展[J].中华结核和呼吸杂志,2015,38(4):298-301.
[12]Hiramatsu M,Inagaki T,Inagaki T,et al. Pulmonary ground-glass opacity(GGO)lesions-large size and a history of lung cancer are risk factors for growth[J]. J Thorac Oncol,2008,3(11):1245-1250.
[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:executive summary[J]. Proc Am Thorac Soc,2011,8(5):381-385.
[3] Duann CW,Hung JJ,Hsu PK,et al. Surgical outcomes in lung cancer presenting as ground-glass opacities of 3cm or less:A review of 5 years’experience[J]. J Chin Med Assoc,2013,76(12):693-697.
[4]曹恩涛,于红,范丽,等.纯磨玻璃密度结节肺腺癌的CT三维定量分析[J].中华放射学杂志,2016,50(12):940-945.
[5]肖时满,张玉,强金伟,等.超高分辨率CT(UHRCT)鉴别肺原位腺癌(AIS)与微浸润腺癌(MIA)[J].复旦学报:医学版,2014,41(3):285-290.
[6]肖飞,梁朝阳.多原发肺癌的诊断治疗及预后判断[J].中华胸心血管外科杂志,2014,30(8):499-501,509.
[7]Chung JH,Choe G,Jheon S,et al. Epidermal growth factor receptor mutation and pathologic-radiologic correlation between multiple lung nodules with ground-glass opacity differentiates multicentric origin from intrapulmonary spread[J]. J Thorac Oncol 2009,4(12):1490-1495.
[8]Schneider F,Derrick V,Davison JM,et al. Morphological and molecular approach to synchronous non-small cell lung carcinomas:impact on staging[J]. Mod Pathol,2016,29(7):735-742.
[9]Bonanno L,Calabrese F,Nardo G,et al. Morphological and genetic heterogeneity in multifocal lung adenocarcinoma:The case of a never-smoker woman[J]. Lung Cancer,2016,96:52-55.
[10]米良,佟倜. GGO的影像学特征在老年肺癌中的诊断价值[J].中国老年学,2017,37(4):1023-1025.
[11]曹晓明,邓朝胜,林其昌,等.肺部磨玻璃样病变的诊治进展[J].中华结核和呼吸杂志,2015,38(4):298-301.
[12]Hiramatsu M,Inagaki T,Inagaki T,et al. Pulmonary ground-glass opacity(GGO)lesions-large size and a history of lung cancer are risk factors for growth[J]. J Thorac Oncol,2008,3(11):1245-1250.