75岁以上老年肺癌患者的病理类型及其与CT征象的关系
Pathological types of lung cancer and their relationship with CT signs in elderly patients over 75 years old
叶剑强 1王希喆 1张伟1
作者信息
- 1. 南通大学杏林学院附属惠山医院/无锡市惠山区人民医院病理科,江苏 无锡,214187
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摘要
目的 分析 75岁以上老年肺癌患者的病理类型及其与CT征象的关系.方法 回顾性分析2021 年7月至2023年 6 月93 例老年肺癌患者的病理和CT影像学资料,依据年龄将其分为老年组(n=45,>75岁)与低龄组(n=48,60～75 岁).比较两组的病理类型;分析病理类型与CT征象的关系.结果 老年组的鳞癌占比高于低龄组,腺癌占比低于低龄组(P<0.05);两组的小细胞癌和其他病理类型占比无显著差异(P>0.05).鳞癌、腺癌的磨玻璃征、空洞形成、分叶征、空泡征占比比较,差异具有统计学意义(P<0.05);鳞癌、腺癌的钙化、毛刺征占比无显著差异(P>0.05).结论 75 岁以上老年肺癌患者病理类型以鳞癌为主,与磨玻璃征、空洞形成、分叶征、空泡征等CT征象关系密切.
Abstract
Objective To analyze the pathological types of lung cancer and their relationship with CT signs in elderly patients over 75 years old.Methods The pathological and CT imaging data of 93 elderly patients with lung cancer from July 2021 to June 2023 were retrospectively analyzed.According to age,the elderly patients were divided into elderly group(n=45,>75 years old)and young group(n=48,60-75 years old).The pathological types of the two groups were compared;and the relationship between pathological types and CT signs was analyzed.Results The proportion of squamous cell carcinoma in the elderly group was higher than that in the young group,and the proportion of adenocarcinoma was lower than that in the young group(P<0.05);there were no significant differences in the proportion of small cell carcinoma and other pathological types between the two groups(P>0.05).There were statistically significant differences in the proportion of ground glass sign,cavity formation,lobulation sign and vacuole sign between squamous cell carcinoma and adenocarcinoma(P<0.05);there were no significant differences in the proportion of calcification and burr sign between squamous cell carcinoma and adenocarcinoma(P>0.05).Conclusion Pathological type in elderly lung cancer patients over 75 years old is mainly squamous cell carcinoma,which is closely related to CT signs such as ground glass sign,cavity formation,lobulation sign and vacuole sign.
关键词
75岁以上/老年/肺癌/病理类型/CT征象Key words
over 75 years old/elderly/lung cancer/pathological type/CT sign引用本文复制引用
出版年
2024
NETL
NSTL
万方数据