【新整理】支氣管癌(肺癌)-英文課件-在線瀏覽
2024-11-19 00:18本頁面
【正文】 raphic Findings,2 Central type (1) Direct appearance :Unilateral enlargement of the hilar shadow due to the tumor itself or enlarged lymph nodes. (2) Indirect appearance :Including local emphysema。 obstractive atalectasis (collapse) lobe or segment.,Advantage of CT:,(1) Some small lesion, lesion behind of cardiac or blood vessel,and pathology located in apical of lung can be found by CT which can’t be found by chest xray. (2) Lymph nodes along hilar or mediastina can be found by CT.,Fig1 Atelectasis,Right upper lobe,Fig3 Mass With Fuzzy,Right Upper LObe,Fig4 Mass In right Lobe,Lateral portion,Fig5 Cavitating Bronchial Carcinoma,Examination of sputum,Cytologic examination of bronchial secretions(or sputum)may reveal exfoliated malignant cells recognizable to the pathologist who is specially trained for such work.The sputum must to be fresh, send on time, repeat(46 times),Bronchoscope,Bronchoscope may verify the existence of tumor , of Central type, and cytologic diagnosis of lung cancer should be obtained though FBC .Blind biopsy may be help to the diagnosis of the tumor beyond the range of bronchoscope vision,Fig 1 Normal Trachea,Fig 2 Normal Carina,Fig 3 Squamous Cell Carcinoma, Trachea,Fig 4 Adenocarcinoma Left Lingular Bronchus,Fig 5 Adenocarcinoma Right Truncal Intermedus,Fig 6 Extrinsic Pressure Trachea,Lung Biopsy,1.Biopsy with fiberoptic bronchoscope。 3.Biopsy with thoracoscopy 。 5
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