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细支气管肺泡癌发生于细支气管或肺泡上皮,是腺癌的一个亚型,常被误诊为血行播散型肺结核。我院1991年1月～1999年12月共收治院外以肺结核病转入我院的弥漫型细支气管肺泡癌患者13例。现分析讨论如下。 1 临床资料 1.1 一般情况 13例中男6例,女7例,年龄29～65岁,平均48.2岁,外院误诊时间10d～3个月,入院后4d内确诊者10例,30～45d内确诊者3例。 1.2 临床症状和体征 咳嗽13例(其中4例痰中带血,2例有大量泡沫粘液样痰),胸痛4例,胸闷、气促11例,发热3例(以低热为主),身体进行性消瘦8例,锁骨上淋巴结肿大6例(单侧3例,双侧3例),胸部局部叩诊浊音4例。
Bronchioloalveolar carcinoma occurs in the bronchioles or alveolar epithelium and is a subtype of adenocarcinoma. It is often misdiagnosed as hematogenous disseminated tuberculosis. In our hospital from January 1991 to December 1999, 13 cases of diffuse bronchioloalveolar carcinoma with pulmonary tuberculosis were transferred to our hospital. The analysis is discussed below. 1 clinical data 1.1 general situation 13 cases of 6 males and 7 females, aged 29 to 65 years, mean 48.2 years, the external hospital misdiagnosis time 10d ~ 3 months, 4 days after admission confirmed in 10 cases, 30 to 45d within the diagnosis 3 cases. 1.2 Clinical symptoms and signs 13 cases of cough (including 4 cases of sputum with blood, 2 cases of a large number of foam mucoid sputum), chest pain in 4 cases, chest tightness, shortness of breath in 11 cases, fever in 3 cases (mainly low fever), physical There were 8 cases of weight loss, 6 cases of supraclavicular lymphadenopathy (3 cases in unilateral and 3 cases in bilateral), and 4 cases of dullness in chest.