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目的:探讨肺癌支气管镜活检误诊的原因。方法:回顾性的分析2002-02/2008-06 102例肺癌患者误诊的临床资料。结果:肺癌支气管镜活检误诊为慢性炎症62例,结核3例,淋巴瘤4例,描述性诊断33例。术后病理检查诊断为鳞癌52例,腺癌31例,细支气管肺泡癌4例,小细胞癌9例,大细胞癌4例,黏液表皮样癌1例,腺样囊性癌1例。结论:支气管镜下活检、刷检和镜下透壁肺活检以及痰涂片联合取材方法可提高肺癌的诊断正确率。
Objective: To investigate the causes of misdiagnosis of bronchoscope biopsy in lung cancer. Methods: A retrospective analysis of 102 cases of lung cancer in 2002-02 / 2008-06 misdiagnosis of clinical data. Results: Bronchial biopsy of lung cancer was misdiagnosed as chronic inflammation in 62 cases, tuberculosis in 3 cases, lymphoma in 4 cases, and descriptive diagnosis in 33 cases. Postoperative pathological examination showed 52 cases of squamous cell carcinoma, 31 cases of adenocarcinoma, 4 cases of bronchioloalveolar carcinoma, 9 cases of small cell carcinoma, 4 cases of large cell carcinoma, 1 case of mucoepidermoid carcinoma and 1 case of adenoid cystic carcinoma. Conclusion: The bronchoscopic biopsy, brush and transmural lung biopsy and sputum smear combined with the method can improve the diagnostic accuracy of lung cancer.