The Diagnostic Value of Multi-slice Spiral CT for Bronchial Mucoid Impaction in Early Central-type Carcinoma of Lung_West China Medical Journal

Authors：

 LANYu-mei ¹ ,  LIULi ² , LIQi ³ , HUANGXing-tao ⁴

1. Department of Radiology, People's Hospital of Renshou County, Renshou, Sichuan 620500, P. R. China;
2. Department of Radiology, People's Hospital of Yubei District, Chongqing, Chongqing 401120, P. R. China;
3. Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;
4. Department of Radiology, the Fifth People's Hospital of Chongqing City, Chongqing 400062, P. R. China;

Corresponding?author：

LIULi, Email: drliuli@163.com

Keywords：

Central-type carcinoma of lung; Bronchial mucoid impaction; Multi-slice spiral CT

DOI：

10.7507/1002-0179.20140459

Video：

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Objective To discuss the diagnostic value of multi-slice spiral CT for bronchial mucoid impaction in early central-type carcinoma of lung. Methods We used multi-planar reformat, maximum intensity projection and minimum intensity projection to observe the characteristics of 15 patients with bronchial mucoid impaction in early central-type carcinoma of lung treated between March 2010 and October 2013. The characteristics included location, shape and enhanced performance of the tumor and the bronchial mucoid impaction. All the cases were confi rmed by operation or pathology. Results Among the 15 cases, 12 were squamous cell carcinoma and 3 adenocarcinoma; 8 occurred on the right and 7 on the left. All the tumors showed equal density and were enhanced moderately. Bronchial mucoid impaction showed low density, no enhancement, accompanied bronchiectasis and occurred in bronchi which were far from the tumor, and there were 9 cases of strip, 5 of fabrication, and 1 of nodositas or cystic carcinoma. Conclusion The location and shape of tumor and bronchial mucoid impaction are displayed clearly by multi-slice spiral CT and enhancement scanning can differentiate tumor from bronchial mucoid impaction. Multi-slice spiral CT has important diagnostic value in bronchial mucoid impaction of primary lung cancer in its early stage.

Citation： LANYu-mei, LIULi, LIQi, HUANGXing-tao. The Diagnostic Value of Multi-slice Spiral CT for Bronchial Mucoid Impaction in Early Central-type Carcinoma of Lung. West China Medical Journal, 2014, 29(8): 1497-1499. doi: 10.7507/1002-0179.20140459 Copy

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16.	李政旻, 余輝山, 陳曼仙. CT對支氣管黏液嵌塞的診斷價值[J]. 實用臨床醫學, 2008, 9(3):105-106.

1. 黃松輝. 中央型肺癌的"粘液嵌塞征"的CT表現[J]. 國際醫藥衛生導報, 2007, 13(21):38-39.
2. 王明友, 劉新平, 胡效坤. 支氣管粘液嵌塞的CT表現類型與臨床價值[J]. 中國臨床醫學影像雜志, 2005, 16(4):232-233.
3. 俞肖一, 嚴洪珍, 王同德, 等. 支氣管粘液嵌塞的放射診斷分析[J]. 中華放射學雜志, 1999(4):46-49.
4. Woodings JH, Bemared MO, Loh FK. Mucoid impaction of the bronchi[J]. Australas Radiol, 1985, 29(3):234-239.
5. Felson B. Mucoid impaction (inspissated secretions) in segmental bronchial obstruction[J]. Radiology, 1979, 133(1):9-16.
6. 陳義忠. 支氣管粘液嵌塞的CT表現及診斷價值[J]. 醫用放射技術雜志, 2003, 218(10):71-72.
7. 彭志剛, 魏培健, 李石玲, 等. 中央型肺癌所致支氣管黏液嵌塞的CT表現[J]. 河北醫藥, 2008, 30(8):1136-1137.
8. 楊誠, 白林, 周翔平, 等. 支氣管黏液嵌塞的CT表現(附20例分析)[J]. 臨床放射學雜志, 2008, 27(10):1314-1316.
9. 張黃華. 支氣管粘液嵌塞的CT診斷[J]. 醫學影像學雜志, 2012, 22(3):498-499.
10. 劉祥懷, 楊增華, 陳寶春, 等. 支氣管粘液嵌塞綜合癥17例臨床分析[J]. 臨床肺科雜志, 2010, 15(6):862-863.
11. 閔旭紅, 王彬. 支氣管粘液嵌塞栓的CT診斷[J]. 安徽衛生職業技術學院學報, 2007, 6(5):29-30.
12. 張恩舉, 陳蓮. 支氣管粘液嵌塞的CT診斷[J]. 臨床肺科雜志, 2007, 12(9):1001.
13. 李永海, 郝建成. 支氣管黏液嵌塞之影像(平片、CT、MRI)分析[J]. 醫學信息·中旬刊, 2011, 24(3):1217-1218.
14. 佟丹, 趙永生, 趙鋒. 支氣管黏液嵌塞的CT診斷[J]. 中國醫學影像技術, 2000, 16(8):654-655.
15. 余輝山, 李寶學, 秦立新, 等. 支氣管結核并發黏液栓嵌塞的CT表現與診斷[J]. 中國防癆雜志, 2012, 34(10):659-663.
16. 李政旻, 余輝山, 陳曼仙. CT對支氣管黏液嵌塞的診斷價值[J]. 實用臨床醫學, 2008, 9(3):105-106.

West China Medical Journal

The Diagnostic Value of Multi-slice Spiral CT for Bronchial Mucoid Impaction in Early Central-type Carcinoma of Lung

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