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肺癌误诊为肺结核的影像学分析
引用本文:覃康朋.肺癌误诊为肺结核的影像学分析[J].现代医药卫生,2011(6):809-811.
作者姓名:覃康朋
作者单位:河池市第三人民医院放射科;
摘    要:目的:探讨肺癌与肺结核的影像特征,分析总结误诊原因。方法:我院近年经手术、病理确诊为肺癌的误诊病例18例,年龄31~76岁,平均51岁,均有胸正侧位片及CT片,进行再读片。结果:18例中有9例误诊为浸润型肺结核,3例误诊为粟粒性结核,2例误诊为结核球,2例误诊为空洞型结核,1例误诊为干酪性肺炎,1例误诊为淋巴结结核。结论:误诊病例具有临床症状不典型、病灶部位、大小及形态不典型,其他影像表现等多样性的特点。对肺癌的影像特点认识不够、影像的多形性、复杂性及过分依赖某一征象,或合并症的诊断为造成误诊的主要原因。

关 键 词:肺癌  肺结核  X线影像  误诊

Imageological analysis of lung cancer misdiagnosed as tuberculosis.
QIN Kang-peng.Imageological analysis of lung cancer misdiagnosed as tuberculosis.[J].Modern Medicine Health,2011(6):809-811.
Authors:QIN Kang-peng
Institution:QIN Kang-peng(Department of Radiology,Hechi No.3 People′s Hospital,Hechi,Guangxi 547000,China)
Abstract:Objective:To study the imageological characteristics of lung cancer and lung tuberculosis and to summarize the misdiagnostic reasons.Methods:In recent years,there were 18 misdiagnostic cases of lung cancer verified by operation and pathology,aging from 31 to 76 years with the average of 51 years old.All of them took the frontal and lateral chest radiographies and CT scanning.The chest films were analyzed once more.Results:Among 18 cases,9 cases were misdiagnosed as infiltrative pulmonary tuberculosis,3 case...
Keywords:Lung cancer  Pulmonary tuberculosis  X-ray image  Misdiagnosis  
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