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Những tổn thương giống u phổi Bs Đoàn Thị Hiếu Đức

Mimicker lung cancer

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  • 1. Bs on Th Hiu c

2. Tn thng dng knh m (GGO: ground glass opacity) Nt/khi m c ng c phi 3. GGO: ground glass opacity Tng m nhu m phi, m vn bo tn b mch mu, ph qun. Chia hai loi (c hay khng c m c) -Pure GGO -Halo or mixed GGO. 4. Pure GGO Adenocarcinoma in situ CPB: atypical adenomatous hyperplasia (AAH), x ha khu tr 5. Adenocarcinoma in situ 6. AAH 7. AAH tng sinh t bo hnh tr v hnh lp phng ph nang v thnh ph qun, l giai on sm ca adenocarcinoma, hnh trn, ovan, khng lin quan mng phi, Thng < 5mm. 8. X ha khu tr 9. X ha khu tr Bnh lnh tnh khng u Khng thay i hnh dng, kch thc trong thi gian di 10. Halo or mixed GGO Lnh tnh: nt c xut huyt trong invasive aspergillosis v bnh m ht Wegener c tnh: u 11. Invasive aspergillosis. BN 28 tui, b leukemia ang ha tr 12. invasive adenocarcinoma. 13. Tn thng dng knh m (GGO: ground glass opacity) Nt/khi m c ng c phi 14. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 15. Hamartoma 16. Hamartoma Lnh tnh, cha vi, m, m lin kt, c trn, sn Chim 6-8% nt n c phi, chim 77% u lnh tnh Cha m (60%), vi ha dng bp rang v dng trung tm (25%) 17. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 18. Pneumocytoma v 19. Pneumocytoma Lnh tnh, him gp N, tui trung nin M hc c 4 thnh phn: solid, papillary, sclerotic, and hemangiomatous 20. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 21. inflammatory myofibroblastic tumor. . 22. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 23. Intrapulmonary lymph node 24. Di mng phi Nh hn 1 cm Hnh ovan Khng thay i kch thc 25. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 26. pulmonary tumorlets 27. Tng sinh dng nt t bo thn kinh ni tit ca ng dn kh (Kulchitsky cells) Nt nh, 5-8mm, kh phn bit di cn. 28. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 29. Tuberculoma 30. Trung tm thp (hoi t b u), tng quang vin, ging u hoi t B gai nhu m phi c x/kh ph thng 31. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 32. Xp phi trn 33. Xp phi trn Gp ngi phi nhim abestos hay b lao Do x mng phi, xp nhu m phi k cn Du ui sao chi: mch mu, ph qun xoay quanh phi xp Tng quang ng nht l du hiu quan trng gip chn on Khng bt Fluorine-18-FDG trn PET. 34. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 35. amyloidosis 36. amyloidosis Tch t amyloid khoang ngoi bo phi, c ba dng: kh ph qun, nt, lan ta. C to hang, vi ha. Pht trin chm, tng quang t Tn hiu thp trn T2W (do protein amyloid) gip chn on. 37. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 38. p xe phi do ht d vt 39. p xe phi Do vi trng Hang, thnh u, < 15mm Giai on mn tnh: subsolid 40. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 41. Vim phi t chc ha khu tr (focal organizing pneumonia) 42. Vim phi t chc ha khu tr L vim phi khng hi phc/chm hi phc M hc: m ht vim Hnh nh a dng: ng c, nt, du halo, du kh ph qun .... 43. Nt/khi m c Hamartoma Pneumocytoma (Sclerosing Hemangioma) Inflammatory Myofibroblastic Tumor Intrapulmonary Lymph Node Pulmonary Tumorlets Tuberculoma and Histoplasmoma Rounded Atelectasis Pulmonary Amyloidosis Lung Abscess Focal Organizing Pneumonia Lymphoma 44. Lymphoma th pht (non-Hodgkin) 45. Lymphoma Him gp nguyn pht Th pht: dng nt, ng c, to hang, GGO, dy quanh ph qun mch mu