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目的:探讨胸部恶性肿瘤放疗后癌性淋巴管炎的CT表现及鉴别诊断。方法:回顾性分析25例经临床证实的放疗后癌性淋巴管炎患者临床及影像资料。结果:癌性淋巴管炎在高分辨CT中呈结节及网格状表现,多位于放疗照射范围以外区域。结论:放疗后癌性淋巴管炎分布有一定特征性,注意相关疾病的鉴别可以做出明确诊断,改善临床治疗方案。
Objective: To investigate the CT findings and differential diagnosis of malignant lymphangitis after thoracic malignant tumor radiotherapy. Methods: Clinical and imaging data of 25 patients with cancerous lymphangitis after radiotherapy were retrospectively analyzed. Results: Cancerous lymphangitis was nodular and reticular in high resolution CT, mostly in the area outside radiotherapy. Conclusion: The distribution of cancerous lymphangitis after radiotherapy has certain characteristics. Pay attention to the identification of related diseases and make a definite diagnosis to improve the clinical treatment plan.