摘要
目的探讨体检发现的病情较早的局限期小细胞肺癌的影像学特征及其部分原因、生物学生长特征,并结合病史、肿瘤标志物,综合分析病情,指导最优化治疗方案,为患者争取更长的生存时间。方法回顾近期我科收治2例体检发现的肺内结节病例,结合影像学特征、肿瘤标致物、手术方式、术后病理结果。结果1例于当地医院诊断为硬化性血管瘤,1例影像学诊断为良性肿瘤,考虑错构瘤可能性大,两例均误诊。结论小细胞肺癌早期常无特异性临床症状,影像学表现不典型,常呈良性肿瘤影像学特征,易向心性转移,增强扫描后可有强化。结合PET-CT检查结果、肿瘤标志物CEA、NSE升高,可提高小细胞肺癌诊断率,及早行手术及辅助化疗,能明显提高患者生存期。
Objective To explore the imaging characteristics,some causes and biological growth characteristics of the early stage of localized small cell lung cancer found in physical examination.Combined with the medical history and tumor markers,to comprehensively analyze the condition,guide the optimal treatment plan,and strive for a longer survival time for the patients.Methods Two cases of pulmonary nodules found in physical examination were reviewed in our department recently,combined with imaging features,tumor markers,surgical methods and postoperative pathological results.Results One case was diagnosed as sclerosing hemangioma in the local hospital,one case was diagnosed as benign tumor by imaging.Considering the possibility of hamartoma,two cases were misdiagnosed.Conclusion In the early stage of small cell lung cancer,there are no specific clinical symptoms,the imaging manifestations are not typical,and the imaging characteristics of benign tumors are often present,which are easy to transfer to the heart,and can be enhanced after enhanced scanning.Combined with the results of PET-CT,the increase of CEA and NSE can improve the diagnosis rate of small cell lung cancer,early operation and adjuvant chemotherapy,and significantly improve the survival period of patients.
作者
任明仕
郭俊唐
李敏
REN Ming-shi;GUO Jun-tang;LI Min(Department of Thoracic surgery,The general hospital of civil administration,Xingtai,Hebei 054000;Department of Thoracic surgery,The general hospital of PLA,Beijing 010000)
出处
《智慧健康》
2020年第31期74-76,共3页
Smart Healthcare
关键词
小细胞肺癌
肿瘤标志物
类圆形结节
高代谢
CT
Small cell lung cancer
Tumor marker
Round like nodule
High metabolism
CT
