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단일성 폐결절의 고해상 전산화 단층촬영 소견 : 암종과 결핵종의 감별 진단
High Resolution Computed Tomography(HRCT) Findings of a Solitary Pulmonary Nodule : Differential Diagnosis of Cancer and Tuberculosis

김희수    (연세대학교 의과대학 진단방사선과학교실  );
  • 초록

    Purpose: To evaluate the role of HRCT in the differentiation of pulmonary tuberculosis and lung cancer, where the manifestation of disease is a solitary pulmonary nodule(SPN). Material and Methods : Forty eight SPNsincluding 29 cancers proven by surgery(n=10), by bronchoscopic biopsy(n=7) and by fine needle aspiration biopsy(n=12), and 19 tuberculous nodules proven by surgery(n=4), by bronchoscopic biopsy(n=4), by fine needle aspiration biopsy(n=5), by a positive result in AFB culture without evidence of malignant cells(n=3), and by adecrease in size on serial plain chests despite negative AFB culture(n=3) were included. Scanning parameters forHRCT were 140KVp, 170mA, 1.5mm collimation, 3 sec scanning time, and a high spatial frequency algorithm was used. Results: With regard to the marginal features of nodules, the findings mor commonly observed in malignant nodules were greater average length of the longest spicule(5.35 $\pm$ 3.19mm versus 2.75 $\pm$ 1.56mm), and more commonspiculated nodules greater than 3cm in diameter, 16(55%) versus 2(10.5%)(P


  • 주제어

    Lung, nodule .   Lung, CT .   Tuberculosis, pulmonary .   Lung neoplasms, CT.  

  • 참고문헌 (37)

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  • 김희수 (5)

    1. 1994 "폐경기후 여성 호르몬 투여에 따른 유방실질의 변화" 대한방사선의학회지 = Journal of the Korean Radiological Society 31 (5): 983~988    
    2. 1995 "반측안면경련 환자에서의 자기공명영상 및 자기공명혈관조영술" 대한방사선의학회지 = Journal of the Korean Radiological Society 33 (5): 693~698    
    3. 1995 "$^{99m}Tc$-HMPAO를 이용한 발작시 뇌 SPECT상 반대편 소뇌의 섭취증가에 관한 연구" 大韓核醫學會誌 = Korean journal of nuclear medicine 29 (1): 9~14    
    4. 1996 "만성 국소 췌장염의 CT 및 ERCP 소견" 대한방사선의학회지 = Journal of the Korean Radiological Society 35 (4): 549~557    
    5. 2002 "Neuroprotective Effect of 8-OH-DPAT on Long-term Sequelae from Prenatal Ischemia in Rats" The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology 6 (6): 293~297    

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