Analysis of the results of early central-type pulmonary carcinoma in three obstructive signs on chest X ray screened by fiberbronchoscope / 中国综合临床

Objective To explore the diagnosis rate.pathology types and positive rate of cancer cell in spu-tum of early central pulmonary carcinoma in three obstructive signs on chest X ray screened by fiberbromchoscope.Methods 326 cases of three obstructive signs with high risk of lung cancer were screened for central pulmonarycarcinoma by spiral CT.biopsy by fiberbronchoscope and cytological examination of sputum.Results 32 patients were diagnosed with central pulmonary carcinoma,with morbidity of 9.8%.In these patients,21 were confirmed with obstructive pneumonia(65.6%),7 with obstructive atelectasis(21.9%),4 with obstructive emphysema(12.5%);In terms of pathology type,16 cases were defined as squamous cell carcinoma(50.0%),9 as small cell carcinoma(28.1%).3 were as large cell carcinoma(9.4%).2 were as adenocarcinoma(6.3%),1 as admosquamous carci-noma(3.1%),1 as bronchial gland carcinoma(3.1%);cancer cell could be found in sputum of 5 patients of 32 cases,among them,it was found in 3 of 21 patients with obstructive pneumonia(14.3%),1 in 7 patients with ob-structive atelectasis(14.3%),1 in 4 patients with obstructive emphysema(25.0%).Conclusion The prevelance of early central pulmonary carcinoma in three obstructive signs on chest X-ray is 9.815%,in which squamous carci-noma and small-cell carcinoma are common in pathology type.Screening can increase the detection rate of early pul-monary carcinoma.

CT Window Technique in Evaluation of Chronic Obstructive Emphysema and Lung Residual Volume in Smoker / 实用放射学杂志

Objective To study the window technique in evaluating the chronic obstructive emphysema and pulmonary residual volume in long-term smoker without symptoms.Methods 50 cases with chronic obstructive emphysema proved clinically,50 long-term smokers were undergone spiral CT scan of chest and compared with 30 health volunteer,the images were designed using the mean CT value in smoking group as window level and two times of ?2 as window width.Results The white imaging was appeared in the most of the group of volunteer,the images were dark on different degree in group one,while the images were as ground glass on different degree in group two.Conclusion This window technique is helpful in evaluating the chronic obstructive emphysema and residual volume of lung in long-term smoker