NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH CHỤP CỘNG HƯỞNG TỪ NGỰC TRONG CHẨN ĐOÁN UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ HẢI PHÒNG TRONG 2 NĂM 2019 VÀ 2020

Abstract

Objectives: This study aims to: 1-Describe clinical features and computed tomography images, chest magnetic resonance in the diagnosis of non-small cell lung cancer at Hai Phong International General Hospital, 2019 up to 2020. Subjects and methods: The study subjects included 43 patients diagnosed at Hai Phong International General Hospital during the period from January 2019 to December 2020, in accordance with the study criteria. The research method was descriptive cross-sectional, prospective, non-probability sampling. Research facilities included Avanto Siemens CT scanner (Germany) 1.5 Tesla with an agreed procedure and carefully trained. The data collected in the study were processed according to the SPSS 22.0 medical statistical algorithm. Results and Conclusions: The study included 43 patients, the proportion of men was higher than that of women (2.1/1), the mean age was 64.4 ± 12.6. The most common functional symptoms: dry cough 39.5%, cough with white or white sputum in 27.9%, chest pain 23.3%, weight loss 23.3%. The most common physical symptoms: triple reduction syndrome accounted for 16.3%, moist crackles in the lungs 23.3%, clubbing fingers 7%. On MRI, the mean size of primary tumor in 43 cases was 39.7 ± 18.7 mm. The largest mass was 92 mm, the smallest was 8.9 mm. On MRI, the lung tumor invaded the pleura (53.5%), invaded the spine (2.3%) and invaded the mediastinum (7%). The rate of metastasis in lung was 18.6% and metastasis to mediastinal lymph nodes was 32.6%.