肺炎型肺癌

目的探讨肺炎型肺癌的诊断及鉴别诊断。方法回顾性分析32例肺炎型肺癌的临床、影像学及病理表现,探讨其诊断要点。结果 32例肺炎型肺癌中咳嗽、咳痰30例,发热20例,热型不一,胸闷气短14例,2例无明显症状体检发现。肿瘤大小2.1~11.7cm,肺周边部24例,肺门部8例,病理示细支气管肺泡癌16例,腺癌12例,腺鳞癌2例,小细胞癌2例。结论肺炎型肺癌多位于肺周边部,易误诊为肺炎,以细支气管肺泡癌、腺癌多见,抗炎治疗无效,需病理确诊,主要以手术治疗。

Pneumonia-lung Cancer

Objective To investigate the diagnosis and differential diagnosis of the pneumonia-lung cancer.Methods The clinical,radiological and pathological findings of 32 case of pneumonia-lung cancer were retrospective analysis.Results There were of cough and sputum in 30 cases,fever in 20 cases,Chest tightness and shortness of breath in 14 cases,and 2 cases of no obvious symptoms.The tumor size was 2.1-11.7 cm.There were 24 cases of peripheral lung,8 cases in hilar.There were 16 cases of bronchioloalveolar carcinoma,adenocarcinoma 12 cases,2 cases of adenosquamous carcinoma,small cell carcinoma in 2 cases.Conclusion Pneumonia-lung cancers often lie in the peripheral lung,and often misdiagnosed as pneumonia.Bronchioloalveolar carcinoma and adenocarcinoma were more common.The treatment is mainly surgeryand anti-inflammatory treatment is no benefit.