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目的提高对炎症型细支气管肺泡癌的认识及诊断水平。方法回顾总结经支气管镜检查、肺穿刺及手术后病理证实的7例炎症型细支气管肺泡癌的临床表现及影像学表现。结果本组7例炎症型细支气管肺泡癌影像学诊断首诊5例误诊为肺炎,经抗炎治疗短期复查,肺穿刺等检查诊断为本病;2例误诊为肺结核,曾抗痨治疗6个月余,手术后病理明确诊断。结论炎症型细支气管肺泡癌类型特殊,影像学检查误诊率高,短期CT随访可提高影像学诊断准确率。
Objective To improve the understanding and diagnosis of inflammatory bronchioloalveolar carcinoma. Methods The clinical manifestations and imaging findings of 7 cases of inflammatory bronchioloalveolar carcinoma confirmed by bronchoscopy, pulmonary puncture and postoperative pathology were reviewed. Results The first group of 7 cases of inflammatory bronchioloalveolar carcinoma imaging diagnosis of the first diagnosis of 5 cases misdiagnosed as pneumonia, anti-inflammatory treatment by short-term review, lung puncture and other tests diagnosed as the disease; 2 cases misdiagnosed as pulmonary tuberculosis, had anti-tuberculosis treatment of 6 Months, a clear pathological diagnosis after surgery. Conclusions Inflammatory bronchioloalveolar carcinoma has a special type and high misdiagnosis rate of imaging examination. Short-term CT follow-up can improve the accuracy of imaging diagnosis.