肺结节病误诊为肺癌7例报告  

A report of seven cases with pulmonary sarcoidosis misdiagnosed as lung cancer

作　　者：张捷[1] 王长利[1] 

机构地区：[1]天津医科大学附属肿瘤医院肺部肿瘤科天津市肺癌诊治中心,天津300060

出　　处：《现代肿瘤医学》2009年第5期860-861,共2页Journal of Modern Oncology

摘　　要：目的:分析肺结节病拟诊为肺癌行手术治疗的误诊原因。方法:回顾1999年7月到2007年6月,我院经手术病理证实的7例术前拟诊肺癌的肺结节病临床资料,分析其临床特征、诊断、CT表现与病理结果。结果:7例肺结节病占同期肺切除手术的0.22%;临床表现主要有气短、咳嗽、痰中带血、低热等;术前胸部CT征象包括肺内团块影、多发结节影、纵隔淋巴结肿大、毛刺、分叶、增强等;手术术式为肺叶切除和全肺切除术,6例行纵隔淋巴结清扫。结论:肺结节病少见,以肺内单发团块影伴纵隔淋巴结肿大者易误诊为肺癌,且误诊者多具有肺癌的CT征象。Objective：To analyze the causes of misdiagnosing pulmonary sarcoidosis as lung cancer. Methods： The clinical findings of seven cases with pulmonary sarcoidosis diagnosed as lung cancer preoperatively from July 1999 to June 2007 were analyzed retrospectively. Results ： The incidence of pulmonary sarcoidosis was 0.22% among all the patients underwent lung resection procedure in the same period. Short of breath, cough, chest pain, low fever are most common symptoms of the patients with sarcoidosis. CT features include single mass, multiple nodules, enlarged lymph node, spiculated margin, lobulated margin, and so on. The operation were lobectomy with lymph node dissection and pneumonectomy. Conclusion： Pulmonary sarcoidosis is a rare lesion with single or multiple mass and malignant CT features which is easy to be misdiagnosed as lung cancer.

关 键 词：肺肿瘤 结节病 手术 诊断 

分 类 号：R732.3[医药卫生—肿瘤]