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

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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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13.	李永海, 郝建成. 支气管黏液嵌塞之影像(平片、CT、MRI)分析[J]. 医学信息·中旬刊, 2011, 24(3):1217-1218.
14.	佟丹, 赵永生, 赵锋. 支气管黏液嵌塞的CT诊断[J]. 中国医学影像技术, 2000, 16(8):654-655.
15.	余辉山, 李宝学, 秦立新, 等. 支气管结核并发黏液栓嵌塞的CT表现与诊断[J]. 中国防痨杂志, 2012, 34(10):659-663.
16.	李政旻, 余辉山, 陈曼仙. CT对支气管黏液嵌塞的诊断价值[J]. 实用临床医学, 2008, 9(3):105-106.

1. 黄松辉. 中央型肺癌的"粘液嵌塞征"的CT表现[J]. 国际医药卫生导报, 2007, 13(21):38-39.
2. 王明友, 刘新平, 胡效坤. 支气管粘液嵌塞的CT表现类型与临床价值[J]. 中国临床医学影像杂志, 2005, 16(4):232-233.
3. 俞肖一, 严洪珍, 王同德, 等. 支气管粘液嵌塞的放射诊断分析[J]. 中华放射学杂志, 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. 陈义忠. 支气管粘液嵌塞的CT表现及诊断价值[J]. 医用放射技术杂志, 2003, 218(10):71-72.
7. 彭志刚, 魏培健, 李石玲, 等. 中央型肺癌所致支气管黏液嵌塞的CT表现[J]. 河北医药, 2008, 30(8):1136-1137.
8. 杨诚, 白林, 周翔平, 等. 支气管黏液嵌塞的CT表现(附20例分析)[J]. 临床放射学杂志, 2008, 27(10):1314-1316.
9. 张黄华. 支气管粘液嵌塞的CT诊断[J]. 医学影像学杂志, 2012, 22(3):498-499.
10. 刘祥怀, 杨增华, 陈宝春, 等. 支气管粘液嵌塞综合症17例临床分析[J]. 临床肺科杂志, 2010, 15(6):862-863.
11. 闵旭红, 王彬. 支气管粘液嵌塞栓的CT诊断[J]. 安徽卫生职业技术学院学报, 2007, 6(5):29-30.
12. 张恩举, 陈莲. 支气管粘液嵌塞的CT诊断[J]. 临床肺科杂志, 2007, 12(9):1001.
13. 李永海, 郝建成. 支气管黏液嵌塞之影像(平片、CT、MRI)分析[J]. 医学信息·中旬刊, 2011, 24(3):1217-1218.
14. 佟丹, 赵永生, 赵锋. 支气管黏液嵌塞的CT诊断[J]. 中国医学影像技术, 2000, 16(8):654-655.
15. 余辉山, 李宝学, 秦立新, 等. 支气管结核并发黏液栓嵌塞的CT表现与诊断[J]. 中国防痨杂志, 2012, 34(10):659-663.
16. 李政旻, 余辉山, 陈曼仙. CT对支气管黏液嵌塞的诊断价值[J]. 实用临床医学, 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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