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目的:探讨细支气管肺泡细胞癌的临床特征及避免误延诊的措施。方法:回顾分析了我院1988 年5 月~1998 年7 月诊治的42 例细支气管肺泡细胞癌病例的临床资料。结果:本病发病女性比男性稍高,首发症状以咳嗽、咯痰、痰中带血为多见,肺外表现少见。肺泡细胞癌极易与肺部感染,血行播散型肺结核,肺转移癌误诊。结论:凡胸部 X 线片示肺内结节片块状影,支气管气相,空泡征,兔耳征等应注意本病的可能。
Objective: To investigate the clinical features of bronchioloalveolar cell carcinoma and to avoid the possibility of delayed diagnosis. Methods: The clinical data of 42 cases of bronchioloalveolar cell carcinoma diagnosed in our hospital from May 1988 to July 1998 were retrospectively analyzed. Results: The incidence of this disease was slightly higher than that of men. The first symptoms were cough, sputum, sputum blood, and rare extrapulmonary manifestations. Alveolar cell carcinoma is highly susceptible to pulmonary infection, hematogenous disseminated tuberculosis, and misdiagnosis of lung metastases. Conclusions: All chest X-ray films showed that the lung nodule blocky, bronchial gas phase, vacuoles, rabbit ear signs should pay attention to the possibility of this disease.