误诊为结缔组织病的肺癌一例报道及文献复习  

A case of lung cancer misdiagnosed as connective tissue disease and literature reviews

作　　者：王小燕[1] 夏国光[1] 

机构地区：[1]北京积水潭医院呼吸内科,100035

出　　处：《结核病与肺部健康杂志》2016年第3期250-252,共3页Journal of Tuberculosis and Lung Health

摘　　要：报道1例以多关节肿痛为突出表现的肺癌患者，总结患者临床特点，并复习相关文献进行误诊原因的分析。患者51岁，男性。以咳嗽伴多关节肿痛起病，关节x线检查未见骨质破坏，胸部CT发现肺部占位，经皮肺活检确诊为肺癌。肺癌导致的结缔组织受累表现可以多种多样，最常见的是肺性肥大性骨关节病，还可表现为单关节炎、多关节炎、手掌筋膜炎、皮肌炎、肌炎、血管炎、风湿性多肌痛、副肿瘤性坏死性肌病等。提高对这类症状的认识有助于早期发现和治疗肺癌，改善患者预后。We reported the caused by lung cancer and review cilinical characteristics of a male patient, relevant literatures. The onset was cough aged 51, with rheumatic manifestation and muhi-joint swelling and painful, no bone destruction in joint X-ray and lung occupied lesion in CT imaging. The diagnosis of lung cancer was confirmed finally by percutaneous lung biopsy. Paraneoplastic rheumatic manifestations caused by lung cancer may have various manifestations like secondary hypertrophic osteoarthropathy, monoarthritis, palmar fasciitis, dermatomyositis, polymyositis, polymyalgia rheumatica, paraneoplastic vecrotizing myopathy and so on. Physicians should be aware the various manifestations of connective tissue involvement caused by lung cancer, in order to improve prognosis when making a diagnosis correctly and giving treatment immediately.

关 键 词：腺癌 细支气管肺泡 结缔组织疾病 诊断 鉴别 

分 类 号：R734.2[医药卫生—肿瘤]