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肺癌是早期诊断不易,发病率呈上升趋势的恶性肿瘤,而肺结核疫情在我国仍属严重,由于这二种疾病的处理截然不同,及时的鉴别诊断自属重要。本文根据1955～1977年我所住院病人中曾被误诊为肺结核的原发性肺癌167例作初步分析,以供参考。其中147例为院外误诊,另20例为入院一个月以上按肺结核诊治。167例中男性121名,女性46名。40岁以上130人,最小20岁,最大77岁。110例为肺癌,57例为肺癌与肺结核并存。56.3％有吸烟史,腺癌病人不吸烟者多于鳞癌与未分化癌病人。
Lung cancer is not easy to diagnose early, the incidence was on the rise of malignant tumors, and tuberculosis epidemic in our country is still serious, due to the treatment of these two diseases are very different, timely and differential diagnosis is very important. This article based on 1955 ~ 1977 I was hospitalized in patients with pulmonary tuberculosis was misdiagnosed as 167 cases of primary lung cancer for preliminary analysis for reference. 147 cases were misdiagnosed outside the hospital, the other 20 cases admitted for more than a month according to tuberculosis treatment. In 167 cases there were 121 males and 46 females. 130 years old over 40 years old, minimum 20 years old, maximum 77 years old. 110 cases of lung cancer, 57 cases of lung cancer co-exist with tuberculosis. 56.3% had a history of smoking, patients with adenocarcinoma more than squamous cell carcinoma and undifferentiated cancer patients.