Intrathoracic manifestations of metastatic testicular seminoma: a comparison of chest radiographic and CT findings.
Intrathoracic manifestations of metastatic testicular seminoma: a comparison of chest radiographic and CT findings.
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转移性睾丸精原细胞瘤的胸内表现：胸部 X 线和 CT 结果的比较。
DOI：
10.2214/ajr.149.3.473
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
C. Heron
中科院分区：
文献类型：
--
作者：
M. P. Williams;J. Husband;C. Heron
回顾性分析200例单纯性睾丸腺瘤的胸部X线平片和CT表现。X线片显示25例（12.5%）胸内转移性疾病的证据。其中，17例有异常纵隔轮廓，7例有肺转移，5例有胸腔积液，2例有离散性胸膜肿块。CT显示30例（15%）患者存在胸内转移性疾病。其中纵隔淋巴结肿大21例，肺转移12例，胸腔积液6例，胸膜肿块2例。CT不仅在5例胸片正常的患者中显示了疾病，而且在另外4例胸片异常的患者中显示了额外的疾病部位。结果提示纵隔淋巴结肿大是转移性睾丸腺瘤最常见的胸内表现。CT比胸部X线片更准确地检测胸部转移性乳腺癌，并更准确地确定转移性疾病的范围。
The chest radiographs and CT scans of 200 patients with pure testicular seminoma were reviewed. The radiographs showed evidence of intrathoracic metastatic disease in 25 patients (12.5%). Of these, 17 had an abnormal mediastinal contour, seven had pulmonary metastases, five had pleural effusions, and two had discrete pleural masses. CT showed evidence of intrathoracic metastatic disease in 30 patients (15%). This included mediastinal nodal enlargement in 21, pulmonary metastases in 12, pleural effusions in six, and pleural masses in two. CT not only showed disease in five patients with normal chest radiographs, but also showed additional sites of disease in four other patients with abnormal chest radiographs. The results suggest that mediastinal nodal enlargement is the most common intrathoracic manifestation of metastatic testicular seminoma. CT is more accurate than chest radiography in the detection of metastatic seminoma in the chest and defines the extent of metastatic disease more precisely.