肺癌合并肺结核54例临床分析

摘要/Abstract

摘要： 目的　探讨肺癌合并肺结核的诊治及两者关系。方法回顾性分析54例肺癌合并肺结核。结果鳞癌18例,腺癌23例,腺鳞癌3例,小细胞癌2例,未定类型癌7例,Ⅰa期2例,Ⅰb期1例,Ⅱb期6例,Ⅲa期10例,Ⅲb期10例,Ⅳ期21例；原发型结核1例,继发肺结核43例；7例漏诊肺癌,4例漏诊肺结核。癌灶与结核灶同处一叶占78.1%。结论肺癌合并结核易造成漏诊、误诊,临床医师应提高警惕,两病如能同时治疗,可延长患者生存期。癌灶与结核灶有紧密联系。

关键词: 肺癌结核, 肺/并发症

Abstract: Objective To study on clinical diagnosis and treatment of lung cancer complicated by tuberculosis and the relationship of two diseases. Method A total of 54 patients with lung cancer complicated by tuberculosis were analysed retrospectively. Results All the patients’ histopathology types were squarmous cell carcinoma(18), adenoarcinoma(23), adenosquamous carcinoma(3),SCLC(2), unclassified carcinoma(7). Disease stage wasⅠa(2),Ⅰb(1),Ⅱb(6),Ⅲa(10),Ⅲb(10),Ⅳ(21).The type of tuberculosis wasⅠ(1), Ⅲ(43).Seven patients were missed diagnosed carcinoma. Four patients were missed diagnosed tuberculosis. The coexistence of two diseases in the same lobe was 78.1%.Conclusion Lung cancer complicated by tuberculosis is missed diagnosis or misdiagnosis easily. Doctors should pay more attention to it. Its prognosis is very bad . If the two diseases could be treated at the same time, the patients would survival longer. Carcinoma lesion and tuberculosis lesion have tight relationship.

Key words: Lung cancer, Pulmonary tuberculesis/complication

陈子丹,肖和平,史宏彰,周彩存,. 肺癌合并肺结核54例临床分析[J]. 中国防痨杂志, 2005, 27(3): 162-164.

Chen Zidan, Xiao Heping, Shi Hongzhang , et al.. Lung cancer complicated by tuberculosis: a clinical analysis of 54 cases[J]. Chinese Journal of Antituberculosis, 2005, 27(3): 162-164.

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肺癌合并肺结核54例临床分析

Lung cancer complicated by tuberculosis: a clinical analysis of 54 cases

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