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肺癌是肺部常见的恶性肿瘤之一,但临床上误诊率仍较高。本院从1984年1月～1985年12月住院病人中80例肺癌误诊。分析其原因。临床资料男64例,女16例,男女之比为4:1,与文献报道一致。确诊方式:痰细胞学检查38例,胸水细胞学检查10例,手术标本活检13例,淋巴结活检10例,纤维支气管镜活检9例。本组肺癌的主要症状:咳嗽68例,发烧33例,咯血44例,胸痛37例,气急23例。X线表现:周边块影23例,肺门块影22例,肺炎征19例,胸水征10例,肺不张3例,粟粒状影3例。误诊的疾病见附表。讨论本组病例从出现症状到确诊时间最短20天,最
Lung cancer is one of the common malignant tumors in the lungs, but the clinical misdiagnosis rate is still high. Our hospital from January 1984 to December 1985 inpatients 80 cases of lung cancer misdiagnosis. Analysis of the reasons. Clinical data of 64 males and 16 females, male to female ratio of 4: 1, consistent with the literature. Diagnostic methods: sputum cytology in 38 cases, pleural fluid cytology in 10 cases, surgical specimens biopsy in 13 cases, lymph node biopsy in 10 cases, bronchoscopy biopsy in 9 cases. The main symptoms of this group of lung cancer: 68 cases of cough, fever in 33 cases, hemoptysis in 44 cases, 37 cases of chest pain, shortness of breath in 23 cases. X-ray findings: 23 cases of peripheral shadow, hilar shadow 22 cases, 19 cases of pneumonia, pleural effusion in 10 cases, 3 cases of atelectasis, miliary shadow in 3 cases. Diseases misdiagnosed see Schedule. Discussion This group of patients from the onset of symptoms to the shortest 20 days, the most