肺结核合并肺癌临床分析  

作　　者：庞永华[1] 过小叶[1] 徐洪杰[1] 谢益明[1] 

机构地区：[1]江苏无锡市传染病医院,214005

出　　处：《中国社区医师（医学专业）》2011年第21期48-48,共1页

摘　　要：目的:分析肺结核合并肺癌的临床特征与影像学特点,提高肺结核合并肺癌的诊断率。方法:回顾性分析100例肺结核合并肺癌患者的临床特征与影像学表现。结果:癌灶与结核灶同侧同叶76%,同侧不同叶15%,不同侧9%;鳞癌35例(35%),腺癌45例(45%),腺鳞癌5例(5%),小细胞癌4例(4%),未定类11例(11%)。诊断肺结核、肺癌均经细胞学或组织学证实。结论:临床医师在关注肺结核患者时,应警惕并发恶变的可能,并尽早进行多种检查,以提高肺结核合并肺癌的诊断率。两者如能同时治疗,可延长患者生存期。Objective：To analyze the clinical features of pulmonary tuberculosis with lung cancer and radiological features, enhance the rate of pulmonary tuberculosis with lung cancer. Methods：A retrospective analysis of 100 cases of pulmonary tuberculosis in patients with clinical features of lung cancer and imaging performance. Results： TB lesions ipsilateral foci and 76% with the leaves,different leaf ipsilateral 15% ,9% of the different sides ; squamous cell carcinoma, 35 cases （ 35% ）, adenocarcinoma in 45 cases （ 45% ）, adenosquamous carcinoma 5 （5%）, small cell carcinoma in 4 cases （4%）, undetermined type in 11 cases （ 11% ）. Diagnosis of pulmonary tuberculo-sis, lung cancer were confirmed by cytology or histology. Conclusion： Clinicians con-cerned about patients with pulmonary tuber-culosis should be alert to the possibility of concurrent malignancy, and a variety of inspection as soon as possible to improve the diagnosis rate of pulmonary tuberculosis with lung cancer. At the same time if the two treatment prolong survival.

关 键 词：肺结核合并肺癌 诊断 

分 类 号：R521[医药卫生—内科学]