支气管类癌的临床及影像学特点分析(附1例报告)  

Clinical and Eikonic Features of Bronchial Carcinoid: A Case Report

作　　者：王妍敏[1] 韩锋锋[1] 皮卫峰[1] 管雯斌[2] 张悦[1] 孙晋渊[1] 郭雪君[1] 

机构地区：[1]上海交通大学医学院附属新华医院呼吸内科,上海200092 [2]上海交通大学医学院附属新华医院病理科,上海200092

出　　处：《临床误诊误治》2013年第7期88-90,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨支气管类癌的临床特点,减少误诊、漏诊。方法对我院收治的1例支气管类癌的临床资料进行回顾性分析。结果本例无明显临床症状,体检发现左肺部斑片状阴影入院。经胸部CT平扫结合支气管镜活检病理检查确诊为支气管类癌,予手术治疗,术后未行放化疗,随访6个月患者无复发。结论支气管类癌早期临床表现缺乏特异性,诊断困难,易误、漏诊,及时行支气管镜下深部活检或外科手术活检,有利于及早确诊并治疗。Objective To explore clinical features of bronchial carcinoid in order to avoid misdiagnosis and missed diagnosis.Methods Clinical date of one patient with bronchial carcinoid in our hospital were retrospectively analyzed.Results The patient had no clinical symptoms,and was admitted for patching shadow in left lung in physical examination.Bronchial carcinoid was confirmed by chest plain CT scan combined with bronchoscopic biopsy,and surgical therapy was performed.Chemoradiation was not given,and the patient had no recurrence within six months of follow-up.Conclusion Bronchial carcinoid is often misdiagnosed or missed diagnosed because of lack of characteristic in early period.Bronchoscopic and surgical biopsy is valuable in early diagnosis and treatment.

关 键 词：支气管肿瘤 误诊 支气管扩张症 肺结核 哮喘 

分 类 号：R734.1[医药卫生—肿瘤]