CT表现为胸膜附着的磨玻璃结节肺腺癌是否有脏层胸膜侵犯?OA
Does CT show visceral pleural invasion in pleura-attached ground-glass nodular lung adenocarcinoma?
随着低剂量CT(LDCT)筛查的广泛应用和人们健康体检意识增强,肺磨玻璃结节(GGN)的检出率日益增高,其中部分经手术证实为肺腺癌;如果其发生脏层胸膜侵犯(VPI)则是非小细胞肺癌重要的不良预后因素.近年来,胸膜附着的GGN肺腺癌是否也会出现VPI成为业界关注和研究热点,但观点与结论差异较大.本文结合国内外研究文献及笔者长期的临床观察就有关问题与研究进展情况作一述评.
With the widespread application of low-dose computed tomography(LDCT)screening and increased awareness of health examinations,the detection rate of pulmonary ground-glass nodules(GGN)has been increasing,some of which are confirmed as lung cancer after surgery.Visceral pleural invasion(VPI)is an important adverse prognostic factor in non-small cell lung cancer.In recent years,whether pleura-attached GGN lung adenocarcinoma also exhibits VPI has become a focal of attention and research,but the viewpoints and conclusions remain inconsistent.Based on domestic and international literature and the authors'long-term clinical observations,this article provides a commentary on the related issues and research progress.
刁熙朦;姜阁阁;伍建林
大连大学附属中山医院放射科,大连 116001大连大学附属中山医院放射科,大连 116001大连大学附属中山医院放射科,大连 116001
医药卫生
低剂量CT非小细胞肺癌肺腺癌脏层胸膜侵犯影像学诊断
Low-dose computed tomographyNon-small cell lung cancerLung adenocarcinomaVisceral pleural invasionImaging diagnosis
《国际医学放射学杂志》 2026 (3)
249-252,4
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