肺炎型肺癌五例误诊分析  

Misdiagnosis analysis of 5 cases of pneumonia type lung cancer

作　　者：王军[1] 于刚刚[1] 都凌杰 王浩彦[1] Wang Jun;Yu Ganggang;Du Lingjie;Wang Haoyan(Department of Respiratory Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院呼吸内科,100050

出　　处：《中国综合临床》2021年第4期308-311,共4页Clinical Medicine of China

摘　　要：回顾性分析2017年1月至2020年1月5例肺炎型肺癌患者的临床资料,5例患者临床症状均表现为咳嗽、咳痰,感染指标轻度异常,肿瘤标记物指标增高,经抗感染治疗后效果欠佳,通过完善纤维支气管镜活检等检查后明确肺炎型肺癌诊断。肺炎型肺癌因临床表现缺乏特异性,若早期无法明确诊断,可经抗感染治疗后复查胸部影像学,并及时完善纤维支气管镜检查、支气管镜肺泡灌洗、肺穿刺活检等获取病理学依据以明确诊断。The clinical data of 5 patients with pneumonia type lung cancer from January 2017 to January 2020 were retrospectively analyzed.The results showed that the clinical symptoms of the 5 patients were cough and expectoration.The infection index was mildly abnormal,and the tumor marker index was increased.After anti infection treatment,the effect was not good.The diagnosis of pneumonia type lung cancer was confirmed by improving the fiberoptic bronchoscopy biopsy.Due to the lack of specificity of clinical manifestations,if the early diagnosis of pneumonia type lung cancer can not be confirmed,the chest imaging can be reviewed after anti infection treatment,and the pathological basis can be obtained by timely improvement of fiberoptic bronchoscopy,bronchoalveolar lavage and lung biopsy.

关 键 词：肺炎型肺癌 误诊 肺部感染 影像学检查 

分 类 号：R734.2[医药卫生—肿瘤]