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目的探讨细支气管肺泡癌(BAC)的临床特点。方法选取经病理证实的BAC患者34例,回顾性分析患者的临床资料。结果 34例中,男10例,女24例;临床症状多样,缺乏特征性表现;胸部CT孤立型病灶8例(23.5%);多结节病灶型7例(20.6%);肺炎型19例(55.9%)。误诊18例(52.9%),误诊为肺部炎症12例、肺结核4例、隐源性机化性肺炎2例;患者中位生存期为2.23年。结论女性BAC患者发病率较高,缺乏特征性表现,影像学容易误诊为肺部感染,需病理明确诊断。
Objective To investigate the clinical features of bronchioloalveolar carcinoma (BAC). Methods 34 patients with pathologically confirmed BAC were selected and their clinical data were retrospectively analyzed. Results Among the 34 cases, there were 10 males and 24 females with various clinical features and lack of characteristic features. Thoracic CT solitary lesions in 8 cases (23.5%), multiple nodular lesions in 7 cases (20.6%), pneumonia in 19 cases (55.9%). Misdiagnosis in 18 cases (52.9%), misdiagnosed as pulmonary inflammation in 12 cases, 4 cases of pulmonary tuberculosis, cryptogenic organic pneumonia in 2 cases; patients with a median survival of 2.323 years. Conclusion Female BAC patients with high incidence, the lack of characteristic manifestations, imaging easily misdiagnosed as pulmonary infection, requiring a clear pathological diagnosis.