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肺癌的主要临床表现为咳嗽、胸痛、咯血、发热等,是其他呼吸道疾患所共有的.没有特异性,因此,早期诊断有一定困难,误诊率较高。本文将我院自1988年6月-1995年6月经细胞学检查及病理证实误诊为肺结核的肺癌24例分析如下:1 临床资料1.1 一般资料:本组24例中.男性19例.女性5例.男女之比为3.8:1.年龄29～66岁.平均年龄47.8岁。1.2 首发症状:发热20例,咳嗽9例,胸痛7例.血痰10例,咯血2例、胸闷5例,呼吸困难1例。1.3 发病部位及组织类型:右肺15例.左肺9例;上叶7例,中叶11例,下叶6例;中央型肺癌13例,周围型肺癌11例;鳞癌6例,腺癌4例,未分化癌10例,癌型不定者4例
The main clinical manifestations of lung cancer are cough, chest pain, hemoptysis, fever, etc. It is common to other respiratory diseases. There is no specificity. Therefore, early diagnosis is difficult and the rate of misdiagnosis is high. In this paper, 24 cases of lung cancer misdiagnosed as pulmonary tuberculosis confirmed by cytology and pathology in our hospital from June 1988 to June 1995 were analyzed as follows: 1 Clinical data 1.1 General information: 24 cases in this group, 19 males and 5 females The ratio of male to female is 3.8:1. The age is 29-66 years and the average age is 47.8 years. 1.2 The first symptoms: fever in 20 cases, 9 cases of cough, 7 cases of chest pain, 10 cases of blood stasis, 2 cases of hemoptysis, chest tightness in 5 cases, 1 case of breathing difficulties. 1.3 Incidence and tissue types: 15 cases of right lung, 9 cases of left lung, 7 cases of upper lobe, 11 cases of middle lobe, 6 cases of lower lobe; 13 cases of central lung cancer, 11 cases of peripheral lung cancer; 6 cases of squamous cell carcinoma, adenocarcinoma 4 cases, 10 cases of undifferentiated cancer, 4 cases of cancerous type