癌性淋巴管炎是肺转移瘤的一种,系指肿瘤组织沿淋巴管生长、蔓延,淋巴管内充满肿瘤细胞,淋巴管周围纤维组织增生,病变从肺门向外周扩散。临床常有呼吸困难和气促等症状。影像表现多呈网状结节影,支气管束增粗,HRCT表现为小叶间隔呈串珠形增厚有一定的特征。
需与淋巴瘤及肺部癌性淋巴管炎鉴别。
The differential diagnosis which should be considered is lymphoma and lymphangitis carcinoma of the lung.
这些征象单侧出现时是典型的癌性淋巴管炎表现。
This appearance and the unilateral distribution are typical of lymphangitic spread of carcinoma.
诊断:右肺癌、癌性淋巴管炎,并小叶间隔增厚。
Diagnosis: Lymphangitic spread of carcinoma, right hilar bronchogenic carcinoma, with interlobular septal thickening.
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