Differentiation of Miliary Nodules on HRCT: Miliary Pulmonary Tuberculosis versusPneumonoconiosis and Metastatic Tumor in Lung_West China Medical Journal

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the Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

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Keywords：

肺; 结核; 尘肺; 转移; 体层摄影术,X线计算机

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目的:探讨粟粒性肺结核、尘肺和粟粒性肺转移瘤的HRCT表现及鉴别特征。方法:回顾性分析经本院临床证实的38例粟粒性肺结核,33例尘肺和41例粟粒性肺转移瘤的常规CT及HRCT资料,观察结节的大小、分布特点,统计分析三者的差异。结果:38例粟粒性肺结核中,结节全肺野和内、中、外带分布均匀者分别为32例(84.2%)和29例(76.3%),33例(86.8%)以全小叶分布为主。33例尘肺中,结节以中、上肺野和内中带分布为主者分别为30例(90.9%)和31例(93.9%),28例(84.8%)以小叶中心分布为主。41例粟粒性肺转移瘤中,结节以中下肺野和中、外带分布为主者分别为37例(90.2%)、34例(82.9%),36例(87.8%)以小叶实质分布为主。结核、尘肺及肿瘤结节大小均匀分别为31例(81.5%)、9例(27.3%)、6例(14.6%);边界清晰者分别为36例(94.7%)、31例(93.9%)、39例(95.1%);合并有磨玻璃征者分别为34例(89.4%)、7例(21.2%)、21例(51.2%)。结论:HRCT能够很好地显示粟粒性肺结核、尘肺及粟粒性肺转移瘤结节的分布特点,在诊断和鉴别诊断这三种粟粒性疾病中具有重要价值。

Citation： CHU Zhigang,YU Jianqun,YUAN Hongmei,et al.. Differentiation of Miliary Nodules on HRCT: Miliary Pulmonary Tuberculosis versusPneumonoconiosis and Metastatic Tumor in Lung. West China Medical Journal, 2009, 24(6): 1494-1497. doi: Copy

1.	MULLER N L. Computed tomography in chronic interstitial lung disease[J]. Radiol Clin North Am,1991,29(5):1085-1093.
2.	马大庆.肺内多发小结节的高分辨率CT鉴别诊断[J].中华放射学杂志,2001,35(9):647-650.
3.	KAZEROONI E A. Highresolution CT of the lungs[J]. AJR,2001,177:501-519.
4.	WEBB W R, STEIN M G, FINKBEINER W E, et al. Normal and diseased isolated lungs: Highresolution CT[J]. Radiology,1988,166:81-87.
5.	BERGIN C, ROGGLI V, COBLENTZ C, et al. The secondary pulmonary lobule: normal and abnormal CT appearances[J]. AJR,1988,151:21-25.
6.	HOPEWELL P C. A clinical view of tuberculosis[J]. Radiol Clin North Am,1995,33:641-653.
7.	LEE J Y, LEE K S, JUNG K J, et al. Pulmonary tuberculosis: CT and pathologic correlation[J]. J Comput Assist Tomogr,2000,24(5):691-698.
8.	HONG S H, IM J G, LEE J S, et al. High resolution CT findings of miliary tuberculosis[J]. J Comput Assist Tomogr,1998,22(2):220-224.
9.	ANDREU J, CCERES J, PALLISA E, et al. Radiological manifestations of pulmonary tuberculosis[J]. Eur J Radiol,2004,51:139-149.
10.	王宏伟,黎庶,徐克.尘肺的HRCT表现及其临床应用价值[J].中国医学影像技术,2003,19(11):1523-1525.
11.	REMYJARDIN M, REMY J, FARRE I, et al. Computed tomography evaluation of silicosis and coal workers’ pneumoconiosis[J]. Radiol Clin North Am,1992,30(6):1155-1176.
12.	周新华.肺部弥漫性病变中肺癌和肺结核的CT影像鉴别[J].中国医师进修杂志,2006,29(3A):1-4.
13.	STEIN M G, MAYO J, MLLER N, et al. Pulmonary lymphangitic spread of carcinoma: appearance on CT scans[J]. Radiology,1987,162:371-375.

1. MULLER N L. Computed tomography in chronic interstitial lung disease[J]. Radiol Clin North Am,1991,29(5):1085-1093.
2. 马大庆.肺内多发小结节的高分辨率CT鉴别诊断[J].中华放射学杂志,2001,35(9):647-650.
3. KAZEROONI E A. Highresolution CT of the lungs[J]. AJR,2001,177:501-519.
4. WEBB W R, STEIN M G, FINKBEINER W E, et al. Normal and diseased isolated lungs: Highresolution CT[J]. Radiology,1988,166:81-87.
5. BERGIN C, ROGGLI V, COBLENTZ C, et al. The secondary pulmonary lobule: normal and abnormal CT appearances[J]. AJR,1988,151:21-25.
6. HOPEWELL P C. A clinical view of tuberculosis[J]. Radiol Clin North Am,1995,33:641-653.
7. LEE J Y, LEE K S, JUNG K J, et al. Pulmonary tuberculosis: CT and pathologic correlation[J]. J Comput Assist Tomogr,2000,24(5):691-698.
8. HONG S H, IM J G, LEE J S, et al. High resolution CT findings of miliary tuberculosis[J]. J Comput Assist Tomogr,1998,22(2):220-224.
9. ANDREU J, CCERES J, PALLISA E, et al. Radiological manifestations of pulmonary tuberculosis[J]. Eur J Radiol,2004,51:139-149.
10. 王宏伟,黎庶,徐克.尘肺的HRCT表现及其临床应用价值[J].中国医学影像技术,2003,19(11):1523-1525.
11. REMYJARDIN M, REMY J, FARRE I, et al. Computed tomography evaluation of silicosis and coal workers’ pneumoconiosis[J]. Radiol Clin North Am,1992,30(6):1155-1176.
12. 周新华.肺部弥漫性病变中肺癌和肺结核的CT影像鉴别[J].中国医师进修杂志,2006,29(3A):1-4.
13. STEIN M G, MAYO J, MLLER N, et al. Pulmonary lymphangitic spread of carcinoma: appearance on CT scans[J]. Radiology,1987,162:371-375.

West China Medical Journal

Differentiation of Miliary Nodules on HRCT: Miliary Pulmonary Tuberculosis versusPneumonoconiosis and Metastatic Tumor in Lung

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