漏诊的支气管肺癌:27例X线表现可手术切除病变的回顾

• 作 者: 张俊祥
• 出 处: 国外医学(肿瘤学分册)
• 发表日期: 1992年06期
• 关键词: 支气管肺癌 女性肺癌 非小细胞肺癌 病灶密度 右肺上叶 肺门区 正确诊断率 侧位胸片 后前位 癌放射

本文回顾性复习胸片发现放射学医师漏诊支气管肺癌并非少见,各家报道的漏诊率为12％～90％。作者收集1981～1988年间27例病人的临床及放射学资料作回顾性研究。上述病人都是在胸片上发现尚可进行手术切除的非小细胞肺癌,但因当初放射学医师漏诊而贻误治疗时机。 27例病人中,男性9例(33％),女性18例(67％)。作者支持Veeze提出的论点,由于女性肺癌的发病率明显低于男性,可能导致放射学医师因性别的偏见而使女性患者的正确诊断

This retrospective review of chest radiographs found that radiologists missed diagnosis of bronchial lung cancer is not uncommon, each reported rate of misdiagnosis of 12% to 90%. The authors collected 27 patients from 1981 to 1988, clinical and radiological data for retrospective study. The above patients were found in the chest is still available for surgical resection of non-small cell lung cancer, but because of the original radiologist missed an opportunity to delay treatment. Among 27 patients, 9 were male (33%) and 18 were female (67%). The authors support the argument put forward by Veeze that since the incidence of lung cancer in women is significantly lower than that in men, it may lead to the correct diagnosis of female patients by radiologists due to gender bias