肺癌合并慢性坏死性肺曲霉病  

Lung cancer complicated with chronic necrotizing pulmonary Aspergillosis

作　　者：卢鑫[1] 张秀伟[1] 蔡伟[1] 文昱婷[1] 杨健[1] 施毅[2] 

机构地区：[1]南京医科大学附属江宁医院呼吸内科,211100 [2]南京军区南京总医院呼吸与危重症医学科,210002

出　　处：《国际呼吸杂志》2017年第13期990-992,共3页International Journal of Respiration

基　　金：南京市医学科技发展项目（YKK13215）

摘　　要：目的掌握无免疫抑制肺癌合并慢性坏死性肺曲霉病（chronic necrotizing pulmonary Aspergillosis，CNPA）的临床特点。方法报道1例初诊无免疫抑制肺癌患者合并CNPA病例并对相关文献进行复习。结果无免疫抑制肺癌合并CNPA病例较少，临床表现、肺部影像学表现缺乏特异性，常导致某一诊断的延迟及漏诊。结论无免疫抑制肺癌患者可合并CNPA，诊断肺癌或CNPA的同时，要注意另外一种疾病存在的可能性。Objective To study the clinical feature of lung cancer patients without immunodeficiency complicated with chronic necrotizing pulmonary Aspergillosis （CNPA）. Methods One case of lung cancer patient without immunodeficiency complicated with CNPA was reported and the related datas were reviewed. Results Lung cancer patients without immunodeficieney complicated with CNPA was rarely reported. Patients usually had no specific clinical syndrome and chest CT scans. Conclusions Lung cancer without immunodeficiency maybe complicated with CNPA at the same time if untreated. While diagnosis Lung cancer or CNPA, we have to raise the suspicion of the existence of another disease.

关 键 词：肺癌 慢性坏死性肺曲霉病 诊断 治疗 

分 类 号：R519[医药卫生—内科学] R734.2[医药卫生—临床医学]