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- Title
早期浸润性肺腺癌HRCT形态学征象与血管、淋巴管浸润的相关性研究.
- Authors
杨金花; 辛丽琴; 马瑞芳; 张凤翔; 董云
- Abstract
Objective: To explore the correlation between the HRCT morphologic features and blood and lymphatic vessels invasion in early stage invasive lung adenocarcinoma. Methods: Totally 60 patients with early stage lung adenocarcinoma were involved in our hospital from 2013/9 to 2016/5. They were divided into invasion and non-invasion group according to whether the blood and lymphatic vessels were invaded or not. Single factor and multiple factors analysis were used to find the related factors about the CT morphologic features and blood and lymphatic vessels invasion. Furtherly, ROC analysis were used to evaluate the diagnostic abilities of the diameter of the consolidation part in the mix ground glass nodule(m GGN) and C/T values and so on. Results: The significantly different CT morphologic features between the invasion and non-invasion group were: tumor diameter, spiculation sign, pleural indentation, air bronchogram, vascular convergence, abnormal vein, pathological classification(P<0.05). Among them, spiculation sign and abnormal vein were independent risk factors of blood and lymphatic vessels invasion(OR=2.737, 3.894, P <0.05). The AUC of tumor diameter was 0.885, and the AUC of consolidation part of mGGN, C/T value and the joint detection were 0.855, 0.801, 0.909. Conclusion: The spiculation sign and abnormal vein are independent predictors for blood and lymphatic vessels invasion in early stage invasive lung adenocarcinoma.
- Publication
Progress in Modern Biomedicine, 2016, Vol 16, Issue 35, p6880
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2016.35.021