肺炎型肺癌的诊断及鉴别诊断
【摘要】 目的 探讨肺炎型肺癌的诊断及鉴别诊断。方法 回顾性分析32例肺炎型肺癌的临床、影像学及病理表现,探讨其诊断要点。结果 32例肺炎型肺癌中咳嗽、咳痰30例,发热20例,热型不一,胸闷气短14例,2例无明显症状体检发现。肿瘤大小2.1～11.7 cm,肺周边部24例,肺门部8例,病理示细支气管肺泡癌16例,腺癌12例,腺鳞癌2例,小细胞癌2例。结论 肺炎型肺癌多位于肺周边部,易误诊为肺炎,以细支气管肺泡癌、腺癌多见,抗炎治疗无效,需病理确诊,主要以手术治疗。【关键词】
肺炎型肺癌;诊断;鉴别诊断;临床;影像学
The diagnosis and differential diagnosis of the pneumonia-lung cancer
WANG Jun-cang,LI Zhao-fang,Wu Jie.Department of Internal Medicine,The city hospital of rizhao,Rizhao 276800,China
【Abstract】 Objective To investigate the diagnosis and differential diagnosis of the pneumonia-lung cancer.Methods The clinical, radiological and pathological findings of 32 case of pneumonia-lung cancer were retrospective analysis. Results There were of cough and sputum in 30 cases, fever in 20 cases, Chest tightness and shortness of breath in 14 cases,and 2 cases of no obvious symptoms. The tumor size was 2.1 ~ 11.7 cm. There were 24 cases of peripheral lung, 8 cases in hilar. There were 16 cases of bronchioloalveolar carcinoma, adenocarcinoma 12 cases, 2 cases of adenosquamous carcinoma, small cell carcinoma in 2 cases. Conclusion pneumonia-lung cancers often lie in the peripheral lung, and often misdiagnosed as pneumonia. Bronchioloalveolar carcinoma and adenocarcinoma were more common.The treatment is mainly surgeryand anti-inflammatory treatment is no benefit. ......
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