84例青年肺腺癌早期误诊原因分析  

Analysis of misdiagnosis of adolescent adenocarcinoma of lung in 84 cases

作　　者：陈小兵[1] 闫明[2] 罗素霞[1] 李宁[1] 邹宏志[1] 韩黎丽[1] 

机构地区：[1]河南省肿瘤医院内科,郑州市450008 [2]河南省肿瘤医院胸外科

出　　处：《实用诊断与治疗杂志》2007年第9期650-651,654,共3页Journal of Practical Diagnosis and Therapy

基　　金：河南省科技创新人才工程项目基金资助(编号:200479)

摘　　要：目的:探讨青年肺腺癌发病特点及早期误诊原因,以提高临床诊断的正确率,减少早期误诊。方法:对84例早期误诊为其他疾病,后经病理学检查确诊的84例青年肺腺癌患者的误诊原因进行回顾分析。结果:84例青年肺腺癌初发病时曾被误诊为肺炎、肺结核、结核性胸膜炎、支气管炎、支气管扩张等。分析早期误诊原因:(1)临床表现多样,无特异性;(2)影像学不典型;(3)各专科医师对青年肺腺癌认识不足;(4)病理活检取材困难或患者早期不接受病理检查而贻误诊断。结论:青年肺腺癌近年发病率增长迅速,早期临床表现无特异性,易误诊,应提高认识,对可疑病例尽早行病理检查、多次检查和动态观察,必要时开胸探查。Objective To discuss the characteristic of adolescent adenocarcinoma of lung and the reasons of misdiagnosis in order to improve the level of diagnosis and to avoid misdiagnosis. Methods Retrospective data of misdiagnosis were collected from 84 adolescent adenocarcinoma of lung. AH patients were misdiagnosed and were diagnosed correctly by pathology in the end. Results The primary clinical diagnosis was pneumonia, pulmonary tuberculosis, tuberculous pleurisy, bronchitis or bronchiectasis. The reasons of misdiagnosis were various clinical presentation and nonspecific symptoms, nonsensitive imaging, lack of correct recognition to adolescent adenocarcinoma of lung and difficult or unacceptable biopsy. Conclusion The incidence of adolescent adenocarcinoma of lung is increased rapidly. Pathologic biopsy, careful examination or consecutive observation should be taken in high risk cases because of nonspecific signs and symptoms. And exploratory thoracotomy should be performed if necessary.

关 键 词：肺腺癌 青年 误诊 

分 类 号：R734.2[医药卫生—肿瘤]