【正文】
with both groundglass and solid ponents. 第二十頁,共三十頁。 ? Partly solid lesions with groundglass ponents had a malignancy rate of 63%. 局部實性和磨玻璃樣密度是惡性結(jié)節(jié)的可能性事 63% ? Nonsolid only groundglass lesions had a malignancy rate of 18%. 完全磨玻璃樣密度結(jié)節(jié) 16%是惡性結(jié)節(jié) ? Only solid lesions had a malignancy rate of only 7%.完全實性結(jié)節(jié)是僅 7%是惡性結(jié)節(jié) 第十八頁,共三十頁。 ? The lesion on the far left has a spicuated margin and has lucencies within it. The lesion next to it is lobulated in contour and has some spicules radiating to the pleura. It is however homogeneous in attenuation. Based on these findings we should be most concerned that the lesion on the far left is malignant. It proved to be an adenocarninoma, while the other one was a fungal infection. The lucencies and frank air bronchograms should not mislead you in thinking that it probably is infection. 第十七頁,共三十頁。 ? The case on the left shows an airbronchogram seen as a linear lucency (broad arrow) and as a more cystic lucency (small arrow) due to the fact that the bronchus is seen en face. 第十五頁,共三十頁。 ? Smooth margins more likely benign unless metastatic in origin ? 邊緣光滑見于良性結(jié)節(jié),除外轉(zhuǎn)移瘤 第十三頁,共三十頁。 ? The threedimensional ratio is measured by obtaining the maximal transverse dimension and dividing it by the maximal vertical dimension. A large threedimensional ratio indicates that the lesion is relatively flat, which is a benign sign. 第十一頁,共三十頁。如果超過 2年以上保持不變,這個結(jié)節(jié)就是良性結(jié)節(jié) 第九頁,共三十頁。 Relationship between SPNsize and chance of malignancy in patients with high risk for lung cancer 結(jié)節(jié)大小與惡性度具有密切相關(guān)性 第八頁,共三十頁。 Size 大小 ? A solitary pulmonar