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The image characteristic and the value of CT-Scanner in diagnosis of non-small cell lung cancer and follow-up post chemotherapy
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Abstract
SUMMARY
Lung cancer is non-small cell type common , accounting for 80% of all lung cancers and is the kind of good response to chemotherapy. The problem of early diagnosis and follow-up after treatment chemicals tumors is essential.
Objective: Describe some features computerized tomography images of lung cancer non-small cell and rating the
value of computerized tomography in monitoring chemotherapy lung cancer non -small cell.
Subjects and Methods: The study conducted on 47 patients diagnosed with lung cancer non -small cell had computed tomography movie multiple slices at Medical University Hospital
from 5/2012 to Hanoi in May / 201. Study design: descriptive cross-sectional, prospective combined with retrospective.
Results: In 47 patients with 28 patients with tumors in the (R) 59.6%, 19 patients with tumors in the (L) 40,46%. Smallest tumor size 2,4cm, the largest 8.2 cm, medium 5.3 cm. Before average injection of contrast 100% of tumors with low levels < 50 Hu, after injecting drug absorbed 100% u > 20 HU. Bo irregular
tumor (lobe segments) or fringed or hemp (100%). In 38 patients with metastases that 100% cost- compartment shaft size > = 15
mm and soaked after dye injection drugs. Which necrotic nodes, adhesive 9 patients (23.7%), Lymphadenopathy mere 29 patients
(76.3%). Results after 6 round treatment chemicals according to RECIST Version 1.1: Complete response of 25 patients (53.3%),
can meet 17 patients (36.1%), Stable 5 patients (10.6%), Progress: 0 patients (0%)
Conclusion: CLVT valuable in the diagnosis and monitoring of cancer chemotherapy -small cell lung.
Article Details
Keywords
Lung cancer, lung cancer non-small cell, computed tomography
References
bronchial carcinoma: dose and time relationships
among regular smokers and lifelong non-smokers”,J
Epidemiol Community Health, (32), 303.
2. Lubin J. H et al (1984), “Patterns of lung cancer
risk according to type of cigarette smoked”, Int J Cancer,
(33), 569.
3. Perrot M et al (2000), “Sex differences in
presentation, management, and prognosis of patients
with non- small cell lung carcinoma”, J Thorac
Cardiovasc Surg, (119), 21-6
4. Tô Kiều Dung và cs (1999). “Nghiên cứu kết quả
phẫu trị ung thư phế quản tại Bệnh viện Lao và bệnh
Phổi Trung ương 1999”.
5. Bùi Anh Thắng (2011).“Đặc điểm hình ảnh học
Ung thư phế quản phổi trên phim chụp cắt lớp vi tính”,
Tạp chí nghiên cứu Y học (Y học Thành phố Hồ Chí
Minh) * tập 15 * phụ bản số 2*2011.
6. Cung Văn Công (2015). “Nhận xét một số đặc
điểm hình ảnh cắt lớp vi tính và mô bệnh học của ung
thư phổi ở các bệnh nhân điều trị tại Bệnh viện Phổi
Trung ương”. Tạp chí Y học quân sự số 306(5-6/2015).
7. Lederlin M et al (2013), “Correlation of
radio and histomorphologicalpattern of pulmonary
adenocarcinoma”, Eur. Respir J., 41(4): p. 943-51.
8. Kiessling F et al (2004), “Perfusion CT in patients
with advanced bronchial carcinomas: a novel chance
for characterization and treatment monitoring?”, Eur.
Radiol, 14(7): p. 1226-33.
9. Nguyễn Duy Huề, Phạm Minh Thông (2009)
“Chẩn đoán hình ảnh” dùng cho đào tạo bác sỹ đa khoa
NXB Giáo dục Việt Nam tr. 176 -177.
10. Phạm Ngọc Hoa và Lê Văn Phước (2008) “Chấn
thương ngực” NXB Y học, tr. 10, 11, 81, 82,181-195.
11. Clifton FM and Carolyn M. (1990): “Regional
Lymph Nod Classification for Lung chest cancer
satging”, Chest 111: 1718
12. E.A. Eisenhauer, P. Therasse, J. Bogaerts
et al (2009) New response evaluation criteria in solid
tumours:Revised RECIST guideline (version 1.1).
13. Frank C. Detterbeck, D.J.B.a.L.T.T.,(2009). The
New Lung Cancer Staging System. Chest. 136: p. 260-271.