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近年来由于肺癌发病率的增加,临床医生对此比较警惕,肺癌的漏诊率有所减少,但同时亦不可避免地将其他肺部病变也误诊为肺癌。本文收集了本院肿瘤科自1989～1996年资料完整的17例肺部病变患者,误诊为肺癌,现报告如下。 1.临床资料 本组17例,男9例,女8例,年龄31～84岁,平均57岁。17例均以“肺癌”为入院诊断,其中可疑诊断5例。中心型肺癌6例,周围型肺癌11例,病史1个月～2年,从入院到确诊时间3周～2个月。临床特点:(1)有明显的咳嗽、咳痰、发热等呼吸系统感染表现者5例;(2)咯血、胸痛2例;(3)体重下降者4例;(4)有胸水者2例;(5)低热、颧红、盗汗1例;(6)高热、寒颤、大量脓臭痰1例;(7)无临床症状7例;(8)影像学有明显的毛刺、分叶征者3例,肺内实质性肿块伴肺不张、阻塞性肺炎5例,空洞征1例。
In recent years, due to the increased incidence of lung cancer, clinicians are more vigilant, missed the rate of lung cancer decreased, but also inevitably other lung lesions also misdiagnosed as lung cancer. This collection of our hospital from 1989 to 1996, Department of Oncology data complete 17 cases of lung disease, misdiagnosed as lung cancer, are as follows. 1. Clinical data The group of 17 cases, 9 males and 8 females, aged 31 to 84 years, mean 57 years. 17 cases were diagnosed as “lung cancer”, including 5 cases of suspicious diagnosis. Central type of lung cancer in 6 cases, 11 cases of peripheral lung cancer, history of 1 month to 2 years, from admission to the diagnosis of time 3 weeks to 2 months. Clinical features: (1) 5 cases of respiratory infection such as cough, expectoration, fever and so on; (2) 2 cases of hemoptysis and chest pain; (3) 4 cases of weight loss; (4) 2 cases of pleural effusion (5) 1 case of fever, zygomatic red and night sweats; (6) 1 case of fever, chills and a lot of purulent sputum; (7) 7 cases without clinical symptoms; (8) 3 cases of pulmonary mass with pulmonary atelectasis, obstructive pneumonia in 5 cases, empty sign in 1 case.