摘要
目的探讨肺结核合并肺癌的临床特点,以期早诊断早治疗。方法回顾性分析本院25例肺结核合并肺癌病例的临床表现、X线表现、特殊检查结果,分析误诊原因。结果肺结核病史越长,合并肺癌的概率越高。肺结核合并肺癌以腺癌最多11例,其次为鳞癌7例,支气管肺泡癌4例,未分化小细胞癌3例。结论肺结核与肺癌可能存在密切的关系,肺结核合并肺癌早期误诊率高,掌握肺癌的早期临床症状和肺癌典型及不典型X线征象,仔细动态观察X线片,及早进行痰及胸水检查脱落细胞,作纤支镜及肺部CT或MRI检查,可提高早期诊断率。
Objective To explore the characteristic of tuberculosis with lung cancer for earlier diagnosis. Methods To review and summarize the expression of pathology,X-ray characteristics,special check results and misdiagnosis＇ reasons of 25 cases tuberculosis with lung cancer in our hospital. Results The incorporative lung cancer was probably more higher in tuberculosis with long disease course. The first was adenocarcinoma（11 cases）, the second was squamous cancer （7 cases）, the third was bronchus-alveolar cancer （4 cases）,and the last one was undifferentiated small cell carcinoma （3 cases）. Conclusion Some relationships may exist in tuberculosis and lung carcinoma. The mis-diagnosis rate of tuberculosis with lung cancer is too high. Mastering earlier clinical symptoms and typical or untypical X-ray signs, carefully reviewing X-ray, early checking sputum and pleural fluid, and applying bronchofibroscope,CT or MRI can increase the rate of earlier diagnosis.
出处
《检验医学与临床》
CAS
2010年第3期216-217,共2页
Laboratory Medicine and Clinic
关键词
肺癌
肺结核
误诊
lung cancer
luberculosis
misdiagnosis
