细支气管肺泡细胞癌的临床特征及诊断(附25例报告)  

Clinical Features of Bronchioloalveolar Cancinoma and Its Diagnosis ( Study of 25 Cases)

作　　者：杭建明[1] 李坚[1] 赵夕武[1] 张蓝石[1] 

机构地区：[1]江苏大学附属医院呼吸内科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2002年第5期439-440,共2页Journal of Jiangsu University：Medicine Edition

摘　　要：目的 :探讨细支气管肺泡细胞癌的临床特征及误诊原因。方法 :回顾分析了我院 1992年 1月～ 2 0 0 2年 5月诊治的 2 5例细支气管肺泡细胞癌病例的临床资料。结果 :细支气管肺泡细胞癌首发症状以咳嗽、咯血及进行性呼吸困难为多见。细支气管肺泡细胞癌易与肺部感染、浸润型肺结核和血行播散型肺结核等误诊。结论 :细支气管肺泡细胞癌临床及X线表现多样 ,易误诊误治。经支气管镜肺活检和早期开胸探查分别是诊断浸润型或弥漫型细支气管肺泡细胞癌和孤立结节型细支气管肺泡细胞癌的可靠方法。Objective: To investigate the clinical manifestations and the causes of misdiagnosis of bronchioloalveolar cancinoma. Methods: The clinical data of 25 cases of bronchioloalveolar cancinoma from January, 1992 to May, 2002 in our hispital were reviewed and analysed. Results: The first and early symptoms of bronchioloalveolar cancinoma are cough, hemoptysis and progressive dyspnea in most cases. It is usually misdiagnosed as pulmonary infection, infiltrative pulmonary tuberculosis and hematogenous pulmonary tuberculosis. Conclusion:The clinical manifestations and X ray signs of bronchioloalveolar cancinoma are varied and very apt to be misdiagnosed. Transbronchoscopic lung biopsy and early thoracic exploration are considered as the useful method in the of diagnosis the infiltrative type or the diffuse type bronchioloalveolar cancinoma as well as the solitary nodular type bronchioloalveolar cancinoma.

关 键 词：细支气管肺泡细胞癌 临床特征 诊断 活组织检查 

分 类 号：R734.2[医药卫生—肿瘤]