The 1. X line checks:It is the main means that diagnoses lung cancer.The X line of type lung cancer in center expresses, can just like often advertise for elephant in the earlier period.When the cancer is swollen to jam bronchus, distant lung organization the occurrence be infected, lung segment or lobe of lung implicating have pneumonia to advertise for elephant.The bronchus after taking care of a chamber is been swollen by the cancer to completely jam can produce homologous lobe of lung or a the side whole lungses the piece is not.
At break the 1 F X line slice top can show that the Tu goes into the lump shadow in the bronchus chamber and take care of wall an anomaly and increase thick or tube the chamber is narrow and jam.The tumor infringes upon close by lung organization with transfer when Zong in the lung door separates lymph to knot it is thus clear that area lump in the lung door, or the Zong separate shadow to increase breadth, the outline presents a wave form, lump appearance anomaly, the edge isn't tidy and sometimes present leaf's form in cent.When Zong separated lymphoid knot to oppress Ge nerve, it is thus clear that the Ge muscle jacks up, see through it is thus clear that Ge muscle antinomy sport.The windpipe Long is convex swollen transfer lymphoid knot, can make the windpipe furcation Cape aggrandizement, the close together oesophagus ex- wall can also be pressed.The later period case can also see the chest film accumulating liquid or rib breakage.
Surroundings type X line with the most familiar lung cancer performance, copy for the lung wild surrounding the isolation park form or Tuo park form piece, the diameter is from the 1~2-5~6 cms or larger.The piece copies an outline anomaly and often presents a little cent leaf or slices a vestige, the edge misty hair Cao, often send out a thin short hair sting.Minority of cases copy in the piece inside accidentally see the calcify ordering.The surroundings lung cancer grows up to jam a bronchus tube chamber, can appear the stanza segment pneumonia or lung not piece.The cancer is part of bad dead liquefaction in the swollen center, it is thus clear that the thick wall lacks of impartiality sex empty, inside the wall cave convex gravamen, hardly have obvious liquid flat surface.
Knot the X line of stanza type thin bronchus lung cancer performance, clearly stand alone spheroid shadow for outline;Filled the air thin bronchus lung bubble cancer X line performance for gradually the sexually transmitted disease (STD) change, outline misty, the slice arrived a lung segment or the whole lobe of lung and was similar to pneumonia since the childhood.
The computer body layer scans(CT) to show that the thin layer cross section portrait avoids pathological changes and normal lung organization heavy Die, density resolution Gao, can discover the earlier period lung cancer that the general X line check conceals area(such as lung point, Ge up, spinal column side, heart after, the Zong separate etc.), to definitely have have no the Zong separate lymphoid knot to transfer of great value, and contribute to an establishment treatment project.
Ci resonance(MRI):Again call nuclear magnetic resonance, its advantage is an easy differentiation Zong to separate, blood vessel in the lung door and lump and lymphoid knot, and much noodles become elephant, can better assurance tumor the scope and blood vessel implicate a circumstance, contrast resolution good.But to the lung department because of containing to annoy Gao, effect not equal to CT, and the price is expensive and apply still not extensive.
2.The phlegm cytology checks:The cancer cell that the lung cancer surface sheds off can with phlegm Luo, the phlegm cytology check finds out cancer cell to definitely diagnose, the accuracy can reach to above 80%.Especially the companion contains the case of blood phlegm and find out the opportunity of cancer cell in the phlegm more, again send a phlegm check in response to the continuous several.
3.The bronchus mirror checks:Can directly see tumor in the bronchus chamber to the type lung cancer in center, and can adopt small piece organization to make a pathologic slice check, may also Be brushed to take tumor surface organization by bronchus or absorb bronchus endocrine the thing carry on a cytology check.
4.Be worn a sting to live an organization check by chest wall:Can reach to above 90% for surroundings type lung cancer obtaining the masculine gender rate of histology diagnosis, the method is simple.But very few number may produce pneumothorax, chest film chamber infection or bleed, cancer cell follow the needle way sow to spread etc. complications.
5.Chest water checks:Sample chest water to after leaving the heart processing take it precipitates to be Tu Pian's check to seek cancer cell.
6.The Zong separates a mirror check:Can directly observe the windpipe ex- Long convex bottom and two side bronchus area lymph knot circumstances, and can adopt to live organization to make a pathologic slice check, whether explicit lung cancer has already transfered the lung door and the Zong to separate lymphoid knot.Masculine gender, explain pathological changes scope to is wide, not proper surgical operation treatment, the type lung cancer masculine gender in center leads higher.
7.The chest mirror checks:Make through the chest wall small mirror or fiber bronchus mirror slicing to insert chest directly observe pathological changes scope or take to live organization to make a pathologic slice check.
8.The radio checks plain lung to scan a check:Lung cancer and it transfers cooking stove and 67 galliums, 197 mercury chloride etc. the radio check a vegetable to contain affinity.After the intravenous injection, change in the cancer the part present a radio pit the vegetable Be deeply thick to gather image, the masculine gender rate can reach to 90% or so.But pneumonia and a little bit other non- cancer the pathological changes can also present a male phenomenon, therefore have to combine clinical performance and other data to synthesize analysis.
9.Transfer a focus to live an organization check:The later period lung cancer case has already had a lock bone up, neck, armpit etc. lymphoid knot transfer or appear skin a bottom knot stanza can slice to take the focus organization pathologic slice check, or wear a sting to sample organization to be Tu Pian's check to definitely diagnose.
10.Open chest to fish for:Through various method check, not yet the property of ability explicit pathological changes, but when the lung cancer possibility can not expel again such as patient whole body the circumstance allow, should make to open chest to fish for.Make to live check or correspond a treatment according to the pathological changes in the Shu, the in order to prevent delays a condition.
The main diagnosis method of lung cancer
3.13.2009
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