To explore clinical and imaging characteristics of patients with bronchiolar adenoma (BA).
Methods:
A retrospective analysis was performed on clinical data and chest computed tomography (CT) images of 27 cases diagnosed with BA. Patients were admitted to the First Hospital of Jilin University from July 2019 to August 2021. All 27 cases underwent plain CT scan
of which 15 cases underwent enhanced CT scan. Basic clinical data
medical history
clinical manifestations
distribution and morphology of pulmonary lesions on chest CT images were analyzed.
Results:
Among the 27 case
s
7 were males and 20 were females
aged from 31 to 79 years
and most of them were asymptomatic (23 cases). The lesions were all located in the subpleural area
of which 21 cases occurred in the lower lobes of both lungs
mainly small solid nodules with clear quasi circular boundary
2-15 mm in size
6 cases contained bubble-like lucencies
and the solid components were slightly enhanced on contrast-enhanced CT scan. During the follow-up
the volume of some lesions increased slightly
and no recurrence and metastasis were found after operation.
Conclusion:
The clinical symptoms of BA are nonspecific and the imaging manifestations are diverse
so it is easy to be misdiagnosed. It is necessary to improve the comprehensive understanding of the disease and do a good job in differential diagnosis.