呼吸肺肿瘤的影像诊断ppt课件.ppt

Thanksforyourattendance欢迎光临指导,影像学教研室江勋源,临床医技课之呼吸系统的放射诊断肺肿瘤的影像诊断ImagingDiagnosisofLungTumor,Intodayslesson,wearegoingtostudy,Classificationsoflungtumor肺肿瘤的分类Imagingappearanceofcentrallungcancer中心型肺癌的影像表现Imagingappearanceofperipherallungcancer周围型肺癌的影像表现Specialappearancesoflungcancer肺癌的特殊表现Imagingofmetastaticlungcancer肺转移瘤的影像表现,Classification肺肿瘤的分类,Accordingtoitsorigin,lungtumorcanbeclassifiedas根据肺肿瘤的起源分为：(一)Primary原发性1.Benign:rare良性少见2.Malignant:恶性A.98%arePrimarylungcancer恶性中98%是原发性支气管肺癌,简称肺癌B.Sarcoma98%arePrimarylungcancer恶性中98%是原发性支气管肺癌,简称肺癌B.Sarcoma2%少数肺肉瘤(二)Secondary:Metastaticlungcancerorlungmetastasis继发性:转移性肺癌(肺转移癌),1.Central中心型（中央型）：段支气管开口以上2.Peripheral外围型（周围型）：肺段以下3.Diffuse（弥漫型）BronchioloalveolarCarcinoma细支气管肺泡癌BAC,二.pathologicalclassification(gross)大体病理类型:按其发生部位分为：,二.ImagingappearancesofCentralLungCancer中央型肺癌的影像表现,Directsigns:tumormass,Bronchialobstruction直接征象：肺门肿块,支气管阻塞2.Indirectsigns:signsofobstructivecomplications间接征象：即支气管阻塞所致肺部征象A.Obstructiveemphysema阻塞性肺气肿B.Obstructivepneumonia阻塞性肺炎C.Obstructiveatelectasis阻塞性肺不张,ReviewII,Primarylungcancer1.中央型：2.周围型：肺内肿块影为主.分叶,毛刺,空洞Peripheral:Well-definedmasswithlobular,spicularedgeandcavity3.两种特殊类型,Primarylungcancer,1.中央型2.周围型：3.特殊类型：肺尖癌与细支气管肺泡癌：specialtypesoflungcancer:PancoaststumorandbronchioloalveolarcancinomaBAC:diffusenodulesormassesonbothlung肺泡癌：两肺广泛弥漫结节或肿块样病灶转移性肺肿瘤两肺广泛弥漫结节或肿块样病灶diffusenodulesormassesonbothlung,原发性纵隔肿瘤Primarymediastinaltumors,前纵隔：甲状腺，胸腺瘤，畸胎瘤Anterior：Goiter,thymoma,teratoma中纵隔：淋巴瘤，支气管囊肿Middle：Lymphoma,Bronchicalcyst后纵隔：神经源性肿瘤Posterior：Neurogenictumors,上纵隔甲状腺：Goiter,前上纵隔畸胎瘤：Teratoma,前上纵隔胸腺瘤：Thymoma,前纵隔胸腺瘤：Thymoma,中纵隔支气管囊肿Middle:BronchnicCyst,后纵隔神经源性肿瘤Posterior:Neurogenictumor,同学们辛苦了，今天晚上我请客！Thanksforyourattendance,Thedinnerisonme!Ihopeyoullenjoyit!,Thankyou,偶对好山留客坐，绿阴庭屋日将西,偶对好山留客坐，绿阴庭屋日将西,Thankyo