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1995年10月到2002年6月,我院对18例肺癌合并肺结核患者首次诊为结核球(结节)或结核复发,后经术后(或其他检查)病理检查纠正诊断。现就临床影像学及误诊原因作回顾性分析。 临床资料:本组男13例,女5例;年龄51～73岁,平均61.2岁。均为肺结核发病在先,结核病史12～43年;X线、CT表现为钙化、纤维化11例,多种病变(结节、硬化、条索、空洞)混合存在5例,慢性纤维空洞3例,浸润表现为片状者1例。双肺结核病变12例,单侧6例。肺癌均为周围型,表现为片状影者3例,结节状(球形)15例。肺癌与结核灶,位于同侧肺野14例,两病变重叠6例,相邻7例,远离1例;不在同一肺野4例。临床表现为咳嗽、咳痰12例,痰中带血丝5例,胸痛、胸闷
From October 1995 to June 2002, 18 cases of patients with lung cancer complicated with pulmonary tuberculosis were diagnosed as tuberculous nodules or tuberculosis recurrence in our hospital for the first time from October 1995 to June 2002, then corrected by pathology after operation (or other examinations). Now on the clinical imaging and misdiagnosis of the reasons for a retrospective analysis. Clinical data: The group of 13 males and 5 females; aged 51 to 73 years, mean 61.2 years. The incidence of tuberculosis was 12 to 43 years. The X-ray and CT showed calcification and fibrosis in 11 cases. There were 5 cases of mixed lesions (nodules, sclerosis, cords and cavities), chronic fibrous cavities 3 For example, infiltration showed flaky in 1 case. Pulmonary tuberculosis in 12 cases, unilateral in 6 cases. Lung cancer are peripheral type, showed as film shadow in 3 cases, nodular (spherical) in 15 cases. Lung cancer and tuberculosis, located in the same lung field in 14 cases, two lesions overlap in 6 cases, adjacent to 7 cases, away from 1 case; not in the same lung field in 4 cases. Clinical manifestations of cough, expectoration in 12 cases, sputum in 5 cases with bloodshot eyes, chest pain, chest tightness