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肺内淋巴结
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     Cu and Fe concentrations of lung;
     Cu、Fe;
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     Lung endometriosis:a case resort
     子宫膜异位症1例
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     the tumefaction of the lymph nodes in the lung and mediastinum was not obvious.
     及纵隔无明显淋巴结肿大。
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     hyperedria in lung;
     淤血;
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     THE BENIGN TUMORS OF LUNG
     良性肿瘤
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  intrapulmonary lymph nodes
In 20 to 40% of cases the lymph reached these sites without any relay in the intrapulmonary lymph nodes.
      
Results: The histology of all 94 nodules showed 52 primary lung cancers, 6 metastatic tumors, 5 benign tumors, 8 intrapulmonary lymph nodes, and 23 inflammatory nodules.
      
Hilar and intrapulmonary lymph nodes in stations ten to fourteen were also biopsied if present.
      
The visceral pleural lining and hilar lymph nodes were free of tumor, while the more distal, intrapulmonary lymph nodes did contain malignant cells.
      
The FP result was due to a Bs-MAb uptake in intrapulmonary lymph nodes.
      
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Objective To assess the usefulness of the classification developed by the American Thracic Society (ATS) in the grouping of thoracic lymph nodes on CT scan. Methods Ten patients suffered from lymphoma (5 cases), sarcoidosis (2 cases) and metastatic lymphadenopathy (3 cases) were examinated with CT. The intrathoracic lymph nodes were grouped according to the ATS nodal classification.Results Six areas were divided on the CT scans: (1) between the upper margin of the sixth cervical vertebra and the pulmonary...

Objective To assess the usefulness of the classification developed by the American Thracic Society (ATS) in the grouping of thoracic lymph nodes on CT scan. Methods Ten patients suffered from lymphoma (5 cases), sarcoidosis (2 cases) and metastatic lymphadenopathy (3 cases) were examinated with CT. The intrathoracic lymph nodes were grouped according to the ATS nodal classification.Results Six areas were divided on the CT scans: (1) between the upper margin of the sixth cervical vertebra and the pulmonary apex, including nodes in group 1R/L; (2) between the pulmonary apex and the uppper margin of the aortic arch, including nodes in group 2R/L and 6; (3) between the upper margin of aortic arch and the carina, including nodes in group 4R/L, 5, 6 and 10R; (4) within 3 cm below carina, including nodes in group 7 and 10R/L; (5) between 3 cm from subcarina and the top of diaphragm, including nodes in group 8R/L and 14R/L; (6) intrapulmonary area, distal to the upper lobe bronchi, including nodes in group 11R/L. Conclusion The division of lymph nodes into six areas on CT scan makes the ATS lymph node classification more easily applicable.

目的探讨在胸部CT图像上应用ATS淋巴结分组方法。方法10例患者(淋巴瘤5例,结节病2例,转移性淋巴肿3例)均有胸部CT扫描。所见的胸内淋巴结用ATS方法进行分组。结果应用ATS淋巴结分组法在胸部CT上划分6个区域。(1)第6颈椎上缘至肺尖区域包括1R/L组;(2)肺尖至主动脉弓上缘区域包括2R/L和6组;(3)主动脉弓上缘至隆突区域包括4R/L、5、6和10R组;(4)隆突下方3cm以内区域包括7和10R/L组;(5)隆突下3cm至横膈上区域包括8R/L和14R/L组;(6)两肺上叶支气管以远的肺内淋巴结为11R/L组。结论6个标志区域的划分,使ATS淋巴结分组方法在胸部CT中的应用更简便、实用。

Objective To explore predictors of mediastinal and intrapulmonary pathologic lymph node involvement in clinical stage Ⅰ non small cell lung cancer. Methods From July 1999 to April 2001, 159 patients with clinical stage Ⅰ non small cell lung cancer underwent lobectomy and complete mediastinal or intrapulmonary lymph node dissection. All the resected lymph nodes were pathologically analyzed to find out pathologic involvement. Univariate and multivariate analyses were used to clarify predictors of lymph node...

Objective To explore predictors of mediastinal and intrapulmonary pathologic lymph node involvement in clinical stage Ⅰ non small cell lung cancer. Methods From July 1999 to April 2001, 159 patients with clinical stage Ⅰ non small cell lung cancer underwent lobectomy and complete mediastinal or intrapulmonary lymph node dissection. All the resected lymph nodes were pathologically analyzed to find out pathologic involvement. Univariate and multivariate analyses were used to clarify predictors of lymph node metastasis. Results Of all 159 patients, 37 (23%) had pathologic lymph node metastasis. According to logistic regression analysis, tumor size, grade of cell differentiation, and pleural invasion were the significant predictors of lymphatic metastasis ( P=0.003, P=0.004, P =0.005). Patients with 2 or more factors were more liable to have lymph node metastasis than those with less than 2 factors ( P <0.001). Conclusion When patients with clinical stage Ⅰ non small cell lung cancer have such clinical factors as tumor diameter >2.0 cm, moderate or poor differentiation, or pleural invasion, they will be more liable to have lymph node metastasis. Therefore, it should be more prudent to select therapeutic way and judge their prognosis.

目的 分析临床Ⅰ期非小细胞肺癌患者肺内和纵隔淋巴结转移的影响因素 ,从而进一步探讨临床Ⅰ期非小细胞肺癌的治疗方式。方法 选择从 1999年 7月到 2 0 0 1年 4月行肺叶切除及纵隔或肺内淋巴结廓清手术的临床Ⅰ期非小细胞肺癌患者共 15 9名 ,进行回顾性分析 ,应用logistic单因素和多因素分析来判断影响淋巴结转移的因素。结果 全组 15 9例临床Ⅰ期非小细胞肺癌患者中 ,3 7例 ( 2 3 % )患者有淋巴结转移。依据logistic回归分析 ,肿瘤直径、分化程度及胸膜侵袭是淋巴结转移的影响因素 (P =0 .0 0 3 ,P =0 .0 0 4,P =0 .0 0 5 )。有 2个或 2个以上因素与小于 2个因素比较 ,局部淋巴结转移的可能性明显增大 (P <0 .0 0 1)。结论 临床Ⅰ期非小细胞肺癌患者表现为肿瘤直径 >2cm、肿瘤分化中 /差或侵及胸膜时 ,淋巴结转移可能性较大。这种情况下对治疗方式的选择及预后的判断应慎重

 
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