搜索
:545006,():(1963-),,,,,,,:(IPA)XCT,:IPA52,XMSCT,482XCT:IPA,12,18,14,9,5,8,39,XCT88.5%100%:IPA,,,;;,XR733.7;R814.41;R814.42A100020313(2010)0220160204RadiologicalDiagnosisofInvasivePulmonaryAspergillosisComplicatedwithLeukemiaCHENGang,CAOZhi2ting,ZOUYing,etal.DepartmentofRadiology,theFifthAffiliatedHospitalofGuangxiMedicalUniversityPeoplesHospitalofLi2uzhouCity,Guangxi545006,P.R.ChinaAbstractObjective:TostudytheX2rayandCTfindingsofinvasivepulmonaryaspergillosis(IPA)complicatedwithleukemiaandtoimprovetheunderstandingofthisdisease.Methods:ClinicalandimagingdataofIPAconfirmedbyetiologyorhistopathologywereretrospectivelyanalyzedin52caseswithleukemia.AllpatientsunderwentconventionalchestX2rayandMSCTexaminations,48ofthemunderwentmorethantwiceX2rayorCTfollow2up.Results:TheimagingfindingswerediverseonchestX2rayandCT:intrapulmonarymultiplemottlingshadowsandpatchyshadowswerefoundin12cases,nod2uleormultinodulesin18cases(halosignin14),massshadowin9cases,subpleuralwedge2shapedconsolidationwasseenin5cases,aspergillumsballsandaircrescentsignin8cases,andthereweretwoormoreimagingfindingsin39cases.LesiondetectiveratesofX2rayandCTwere88.5%and100%.Conclusion:IPAisthemostcommoncomplicationwithleukemia,itsearlyandlateimagingcharacteristicsincludehalosignandaircrescentsign,whichareofimportantreferencevaluetothedi2agnosisofthisdiseaseifcloselycombinedwithclinicaldataandlaboratorytests.KeywordsLeukemia;Pulmonaryaspergillosis;Tomography,X2raycomputed,,,(invasivepulmonaryasper2gillosis,IPA)IPA,,,52IPA,IPA,1.522004320092,29,23,2862,4523,8,6,6,5,2,2,38,3657d,42,13,6,22.510d,22,13,8,3CT,63.MSCT,482CTKodakDirectViewDR7100System06120102252RadiolPractice,Feb2010,Vol25,No.21a)X(),,;b)CT,,()2a)X(),,;b)CT,,(),MSCTSoma2tomSensation16CT,:120kV,90mAs,FOV250mm.0.75mm,1mm28,75ml,6s,,1.X46,6,CT,88.5%,28,18,6;MSCT52,100%,47,3,2,,39,75%,,,2.CT12,23%,(1),,,,,,,118,34.6%,13,5,2cm,,14,,(2),69,17.3%,,2cm,,,6(3),3,1,,25,9.6%,,,,(4),1,28,15.4%,2,4,2,24cm,,,(5)5CT,(6),1.IPAIPA,,,IPA()16120102252RadiolPractice,Feb2010,Vol25,No.23a)X(),,;b)CT(),,4a)X(),;b)5dCT,,(),[1],,,,,,,,,,,,IPA,IPA20[2],7.5%,[3]2.IPA,,,,,,[4],1814,77.8%,,[5],,,IPA,IPA,,,MSCT,,IPA,IPA,,,,[6],,,,,,CT,,,,23[7]8,1020d,,[8],IPA,,,,,XCT,,,,3.IPA,,,26120102252RadiolPractice,Feb2010,Vol25,No.25a)X(),,;b)CT(),;c)(),,,6a)X(),;b)CT,(),;c)1CT,(),,,,,,,,,[9],,,,,,,,,CT,,,,,X,IPACT,,,,,,:[1],.[J].,2007,27(9):140821409.[2],,,.CT[J].,2008,24(1):24226.[3]SoubaniAO,ChandrasekarPH.Theclinicalspectrumofpulmona2ryaspergillosis[J].Chest,2002,121(6):198821999.[4]LacomisJM,CostelloP,VilchezR,etal.TheRadiologyofPulmo2naryCryptococcosisinaTertiaryMedical[J].ThoracImaging,2001,16(3):1392148.[5],,,.CT[J].,2002,21(9):6902692.[6].CT[J].,2005,13(2):1512153.[7],,,.25CT[J].,2004,27(7):4952496.[8]CaillotD,CouaillierJF,BernardA,etal.IncreasingVolumeandChangingCharacteristicsofInvasivePulmonaryAspergillosisonSequentialThoracicComputedTomographyScansinPatientswithNeutropenia[J].ClinOncol,2001,19(8):2532259.[9],,.CT[J].,2008,18(3):2682270.(:2009205205:2009207221)36120102252RadiolPractice,Feb2010,Vol25,No.2