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近年来,随着多层螺旋高分辨率CT的临床应用、肺低剂量CT普查的开展及病理学的进展,肺不典型腺瘤样增生(atypical adenomatous hyperplasia,AAH)逐渐为临床、病理及影像医师所认识,但是,目前对AAH的认识仍有不足,笔者将在工作中遇到的3例经手术证实的AAH病例结合近年来有关AAH的文献报告如下,以供同道们参考,并希望能引起临床、病理、影像工作者的注意。
肺不典型腺瘤样增生三例
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关键词:
- 肺 /
- 癌前状态 /
- 体层摄影术, X线计算机 /
- 不典型腺瘤样增生
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[4] Yokose T, DoiM, Tanno K, et al. Atypical adenomatous hyperplasia of the lung in autopsy cases[J]. Lung Cancer, 2001, 33(2/3):155-161. [5] Carey FA, Wallace WA, Fergusson RJ, et al. Alveolar atypical hyperplasia in association with primary pulmonary adenocarcinoma:a clinicopathological study of 10 cases[J]. Thorax, 1992, 47(12):1041-1043. doi: 10.1136/thx.47.12.1041 [6] Mori M, Tezuka F, Chiba R, et al. Atypical adenomatous hyperplasia and adenocarcinoma of the human lung:their heterology in form and analogy in immunohistochemical characteristics[J]. Cancer, 1996, 77(4):665-674. [7] 宋艳, 李凌, 张询.肺不典型腺瘤样增生——肺的癌前病变之一[J].中国肺癌杂志, 2003, 6(5):399-401. doi: 10.3779/j.issn.1009-3419.2003.05.22
[8] 徐艳, 周晓军, 黄文斌.肺不典型腺瘤样增生和细支气管肺泡癌的鉴别诊断[J].临床与实验病理学杂志, 2008, 24(3):362-365. doi: 10.3969/j.issn.1001-7399.2008.03.028
[9] Takashima S, Maruyama Y, Hasegawa M, et al. CT findings and progression of small peripheral lung neoplasms having a replacement growth pattern[J]. AJR Am J Roentgenol, 2003, 180(3):817-826. doi: 10.2214/ajr.180.3.1800817 [10] 王建卫, 张宏图, 马霄虹, 等.肺不典型腺瘤样增生的影像与病理对照分析[J].中华放射学杂志, 2007, 41(5):483-486. doi: 10.3760/j.issn:1005-1201.2007.05.009
[11] 柳学国, 易先平, 梁明柱, 等.关于《肺不典型腺瘤样增生的影像与病理对照分析》一文中部分病例诊断结果的商榷[J].中华放射学杂志, 2008, 42(5):557-558. doi: 10.3321/j.issn:1005-1201.2008.05.041
[12] Nomori H, Ohtsuka T, Naruke T, et al. Differentiating between atypical adenomatous hyperplasia and bronchioloalveolar carcinoma using the computed tomography number histogram[J]. Ann Thorac Surg, 2003, 76(3):867-871. doi: 10.1016/S0003-4975(03)00729-X