肺部直径3cm以下孤立病灶的诊治(附107例报告)

• 作 者: 刘先本 许金良 务森 邵令方
• 机 构: 河南省肿瘤医院胸外科,河南省肿瘤医院胸外科,河南省肿瘤医院胸外科,河南省肿瘤医院胸外科 郑州 450003,郑州 450003,郑州 450003,郑州 450003
• 出 处: 陕西医学杂志
• 发表日期: 1999年06期
• 关键词: 孤立病灶 肺错构瘤 原发性肺癌 肺转移癌 肺疾病/诊断 肿块局部 肺叶切除 结核瘤 经皮肺穿刺 肺炎性假瘤

直径小于3cm的肺部孤立病灶107例,手术证实原发性肺癌48例,肺结核瘤26例,肺炎性假瘤9例,肺错构瘤6例,肺转移癌3例,其它良性病变20例。重点讨论肺癌与良性病变的鉴别,资料显示,年龄、临床症状及X线表现是鉴别诊断的主要依据,痰脱落细胞学检查、纤维支气管镜下活检及经皮肺穿刺阳性结果是确诊肺癌的可靠证据。对良、恶性鉴别有困难时,主张积极手术探查,肺癌应行规范性肺叶切除,良性病变以肿块局部切除为好。对术中不能确定病变性质者,需做快速冰冻切片检查。

There were 107 isolated lung lesions less than 3cm in diameter, 48 primary lung cancers, 26 pulmonary tuberculomas, 9 pneumocystic pseudotumors, 6 lung hamartomas, 3 lung metastases, and 20 benign lesions. . Focus on the identification of lung cancer and benign lesions, data show that age, clinical symptoms and X-ray findings are the main basis for differential diagnosis, sputum exfoliated cytology, fiberoptic bronchoscopic biopsy and positive results of percutaneous lung puncture is a reliable diagnosis of lung cancer evidence. When there are difficulties in distinguishing benign from malignant tumors, active surgical exploration is advisable. Lung cancer should undergo standard lobectomy, and benign lesions should be treated with local resection. For those who cannot determine the nature of the lesion during surgery, a quick frozen section examination is required.