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目的:提高医务人员尤其非呼吸专科人员对不典型肺癌的认识,减少误漏诊率。方法:收集2005/2009年的15例不典型肺癌临床资料,进行回顾性分析。结果:15例不典型肺癌初诊时均误诊为其他疾病:尿崩症1例,脑梗死2例,血管神经性头痛2例,膝骨关节炎1例,肩周炎2例,肌麻痹1例,咽喉炎2例,颈及腋下淋巴结炎4例。结论:不典型肺癌在临床上较易误诊,提高认识熟悉肺癌肺外表现,常规查胸片等,可及时发现肺癌,为尽早治疗创造时机。
Objective: To improve the medical staff, especially non-respiratory specialist awareness of atypical lung cancer, reduce misdiagnosis. Methods: The clinical data of 15 cases of atypical lung cancer collected in 2005/2009 were retrospectively analyzed. Results: 15 cases of atypical lung cancer were misdiagnosed as other diseases at first diagnosis: 1 case of diabetes insipidus, 2 cases of cerebral infarction, 2 cases of angioneurotic headache, 1 case of knee osteoarthritis, 2 cases of frozen shoulder and 1 case of muscle paralysis , 2 cases of pharyngitis, neck and axillary lymph node inflammation in 4 cases. Conclusion: Atypical lung cancer is more likely to be misdiagnosed in clinical practice, and more familiar with lung manifestations outside the lungs. Regular chest radiography can detect lung cancer in time and create an opportunity for early treatment.