• 1. Department of Radiology, Renshou People's Hospital, Renshou, Sichuan 620500, P. R. China;
  • 2. Department of Radiology, the Fist Affiliated Hospital, Chongqing Medical University, Chongqing, 40016, P. R. China;
  • 3. Department of Radiology, Chongqing Yubei People's Hospital, Chongqing, 401120, P. R. China;
  • 4. Department of Radiology, the Fifth People's Hospital of Chongqing, Chongqing, 400062, P. R. China;
LIQi, Email: zhuoshui@sina.com
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Objective To discuss the CT characteristics of pleural lung cancer, and analyze the reason for misdiagnosis. Methods The CT data of 8 patients with pleural lung cancer confirmed by postoperative pathology and treated in Renshou People's Hospital and Fist Affiliated Hospital of Chongqing Medical University between January 2010 and December 2013 were retrospectively analyzed. Results Among the 8 cases of pleural lung cancer, 6 occurred on the left and 2 on the right; there were 3 nodular and 5 irregular masses; 6 had uniform density and 2 had irregular focus and relatively lower density; 4 had osteolytic destruction of adjacent ribs; 6 had pleural effusion; and 5 had mediastinal lymph nodes enlargement, in which 1 had multiple lymph node metastasis of left lung hilum, left supraclavicular region and left axillary. All the 8 cases were enhanced moderately. Conclusion Pleural lung cancer has certain featured manifestations on CT. Analyzing the features carefully, considering clinical symptoms, and cytological examination of hydrothorax can reduce the incidence of misdiagnosis.

Citation: LANYu-mei, LIQi, LIULi, HUANGXing-tao. The CT Characteristics of Pleural Lung Cancer and Misdiagnosis Analysis. West China Medical Journal, 2014, 29(9): 1701-1704. doi: 10.7507/1002-0179.20140518 Copy

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