肺炎型肺癌的诊断及鉴别诊断  

The diagnosis and differential diagnosis of the pneumonia-lung cancer

作　　者：王均仓 李兆芳 武杰[3] 

机构地区：[1]山东省日照市东港区城区医院,276800 [2]日照市两城医院 [3]日照市人民医院病理科

出　　处：《中国临床实用医学》2010年第11期94-95,共2页China Clinical Practical Medicine

摘　　要：目的探讨肺炎型肺癌的诊断及鉴别诊断。方法回顾性分析32例肺炎型肺癌的临床、影像学及病理表现，探讨其诊断要点。结果32例肺炎型肺癌中咳嗽、咳痰30例，发热20例，热型不一，胸闷气短14例，2例无明显症状体检发现。肿瘤大小2．1～11．7cm，肺周边部24例，肺门部8例，病理示细支气管肺泡癌16例，腺癌12例，腺鳞癌2例，小细胞癌2例。结论肺炎型肺癌多位于肺周边部，易误诊为肺炎，以细支气管肺泡癌、腺癌多见，抗炎治疗无效，需病理确诊，主要以手术治疗。Objective To investigate the diagnosis and differential diagnosis of the pneumonia-lung cancer. Methods The clinical, radiological and pathological findings of 32 case of pneumonia-lung cancer were retrospective analysis. Results There were of cough and sputum in 30 cases, fever in 20 cases, Chest tightness and shortness of breath in 14 cases,and 2 cases of no obvious symptoms. The tumor size was 2. 1 - 11.7 era. There were 24 cases of peripheral lung, 8 cases in hilar. There were 16 cases of bronchioloalveolar carcinoma, adenocarcinoma 12 cases, 2 cases of adenosquamous carcinoma, small cell carcinoma in 2 cases. Conclusion pneumonia-lung cancers often lie in the peripheral lung, and often misdiagnosed as pneumonia. Bronchioloalveolar carcinoma and adenoearcinoma were more common. The treatment is mainly surgery and anti-inflammatory treatment is no benefit.

关 键 词：肺炎型肺癌 诊断 鉴别诊断 临床 影像学 

分 类 号：R734.2[医药卫生—肿瘤]