WANG Xiaonan, GUO Huafeng, YANG Lu. Analysis of multi-slice spiral CT in diagnosis of non-small cell lung cancer and small cell lung cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 5-7. DOI: 10.7619/jcmp.202023002
Citation: WANG Xiaonan, GUO Huafeng, YANG Lu. Analysis of multi-slice spiral CT in diagnosis of non-small cell lung cancer and small cell lung cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 5-7. DOI: 10.7619/jcmp.202023002

Analysis of multi-slice spiral CT in diagnosis of non-small cell lung cancer and small cell lung cancer

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  • Received Date: October 08, 2020
  • Available Online: December 20, 2020
  • Objective To explore the diagnostic value of multi-slice spiral CT in the patients with non-small cell lung cancer or small cell lung cancer. Methods A total of 86 patients with suspected lung cancer were given CT examinations, and the CT signs of pathologically confirmed non-small cell lung cancer and small cell lung cancer were observed. Meanwhile, the diagnostic sensitivity, specificity and accuracy of multi-slice spiral CT were calculated with pathological biopsy as the “gold standard”. Results There were 79 cases of lung cancer, 3 cases of pulmonary tuberculosis and 4 cases of pulmonary fibroma confirmed by gold standard, including 49 cases of non-small cell lung cancer and 30 cases of small cell lung cancer. Multi-slice spiral CT showed there were 75 cases of lung cancer including 72 confirmed cases. The diagnostic sensitivity, specificity and accuracy were 91.14%, 57.14% and 88.37%, respectively. The CT signs of the two types of lung cancer were statistically significant in terms of round, central, bronchial occlusion, atelectasis/obstructive pneumonia, mediastinal lymph node fusion and mediastinal vascular invasion(P<0.05). Conclusion CT signs of non-small cell lung cancer and small cell lung cancer are different to some extent, and can provide basis for clinical diagnosis.
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