首页|高级别肉瘤患者肺部不确定性质结节胸部CT影像学特征与转归:一项单中心回顾性研究

高级别肉瘤患者肺部不确定性质结节胸部CT影像学特征与转归:一项单中心回顾性研究

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目的 分析肺部高级别软组织肉瘤患者肺部不确定性质结节(IPN)的影像学特征与转归.方法 回顾性分析82例伴IPN的高级别肉瘤患者的临床资料,IPN的CT影像学特征以及转归.结果 IPN平均大小6.453±0.864 mm.IPN直径、形状、密度及结节发现间期可能是恶性转归相关的CT影像特征.年龄(HR=1.047,95%CI:1.007~1.088)与结节发现间期(HR=3.194,95%CI:1.052~9.694)是影响恶性IPN患者生存期的独立因素.结论 胸部CT的影像学特征可能为良恶性结节性质和生存预后的判断提供重要指导意义.
Chest CT Imaging Features of Indeterminate Pulmonary Nodules and Outcomes in Patients with High-grade Soft Tissue Sarcoma:A Single-center Retrospective Study
Objective To explore the imaging features,clinical outcome,and prognosis of indeterminate pulmonary nodules(IPN)in patients with high-grade soft tissue sarcoma.Methods A retrospective study of 82 patients with high-grade soft tissue sarcoma who have IPNs.The clinical characteristics,imaging features of IPN,and survival of patients were analyzed with statistical software.Results The IPN size of 82 patients was 6.453±0.864 mm.IPN diameter,shape,density,and nodule discovery interval may be CT imaging features related to malignancy tendency.Age(HR=1.047,95%CI:1.007-1.088)and interval between each nodule discovery(HR=3.194,95%CI:1.052-9.694)are independent factors that affect the survival of patients with malignant IPN.Conclusion The imaging features of chest CT may provide important guidance for determining the nature and survival prognosis of benign and malignant nodules.

High-grade soft tissue sarcomaPulmonary nodulesComputer tomographyPrognosis

王远荣、张黎明、索朗达吉、朱岩、樊根涛、王一村、施鑫、吴苏稼、周光新

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210018 南京,中国人民解放军东部战区总医院(南京大学医学院附属金陵医院)骨科

高级别软组织肉瘤 肺结节 计算机体层摄影 预后

江苏省卫健委面上项目

M2020025

2024

肿瘤防治研究
湖北省卫生厅,中国抗癌协会,湖北省肿瘤医院

肿瘤防治研究

CSTPCD
影响因子:0.737
ISSN:1000-8578
年,卷(期):2024.51(2)
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