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.	许开喜.靠近侧胸膜的周围型肺癌的CT 表现及鉴别诊断中价值[J].医用放射技术杂志,2005,233(1):36-38.
14.	唐宏波.肺内炎性结节的CT 表现与鉴别诊断[J].黑龙江医学,2011,35(6):438-439.
15.	朱向会,杨运旗.肺炎型肺癌CT诊断的思考[J].西南国防医药,2010,20(6):610.
16.	孙旭怡.局限性机化性肺炎与周围性肺癌的CT鉴别诊断[J].医学理论与实践,2012,25(9):1091-1092.
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1. 丁晖.胸膜型肺癌的螺旋CT诊断[J].中国辐射卫生,2008,17(4):498-499.
2. 高福平,魏谨.胸膜型肺癌诊断及分析1例[J].临床肺科杂志,2012,17(6):1142-1143.
3. 季景田,朱海云.肺内孤立结节的MSCT 诊断及其限度(附28 例分析)[J].中外医学研究,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. 陈光辉,戴建华,苗福禄,等.胸膜纤维板型肺腺癌2例报告[J].实用癌症杂志,2010,25(3):298.
6. 谌力群,韩凯滨,潘恒,等.胸膜转移瘤的CT诊断价值[J].影像诊断与介入放射学,2007,16(3):121-122.
7. 胡浩,杨登法,杨建涛,等.恶性胸膜间皮瘤的CT诊断与鉴别诊断[J].实用放射学杂志,2013,29(2):209-211.
8. 刘志松,荆随宁,王建洪,等.胸膜间皮瘤的CT诊断[J].中外医学研究,2012,10(12):47-48.
9. 曲宁,王兴义,罗娅红,等.弥漫性胸膜间皮瘤的CT诊断[J].临床放射学杂志,2010,29(6):832-834.
10. 全昌斌,敖国昆,李红,等.胸壁结核的CT诊断[J].中华临床医师杂志·电子版,2011(20):5925-5929.
11. 张磊,周衍慧.胸壁结核的CT诊断[J].中国防痨杂志,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. 许开喜.靠近侧胸膜的周围型肺癌的CT 表现及鉴别诊断中价值[J].医用放射技术杂志,2005,233(1):36-38.
14. 唐宏波.肺内炎性结节的CT 表现与鉴别诊断[J].黑龙江医学,2011,35(6):438-439.
15. 朱向会,杨运旗.肺炎型肺癌CT诊断的思考[J].西南国防医药,2010,20(6):610.
16. 孙旭怡.局限性机化性肺炎与周围性肺癌的CT鉴别诊断[J].医学理论与实践,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,顾军,丁建国.不典型肺癌的CT表现分析[J].中国临庄医学,2002,9(6):671-673.
19. 王家强,刘光华,孙海辉,等.误诊为周围性肺癌的15例炎性病变的CT分析[J].医学影像学杂志,2002,12(1):22-25.

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