肺放线菌病误诊为周围型肺癌临床分析 |
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引用本文: | 孙元亮,罗东兰,陈正贤.肺放线菌病误诊为周围型肺癌临床分析[J].中国综合临床,2004,25(1):712-714. |
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作者姓名: | 孙元亮 罗东兰 陈正贤 |
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作者单位: | 广东省人民医院呼吸科,广州,510080;广东省人民医院病理科,广州,510080; |
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摘 要: | 目的 探讨肺放线菌病的临床特点,提高对肺放线菌病临床误诊的认识.方法 对我院近年收治的4例肺放线菌病患者临床资料进行分析,总结肺放线菌病的,临床与影像学特征及诊断治疗方法,并结合文献进行复习.结果 4例均为放线菌感染,但都误诊为肺癌.CT引导下肺穿刺活检、纤维支气管镜检查、外科手术肺叶切除病理可确诊.结论 肺放线菌病是临床少见肺部真菌病,易误诊为肺癌,临床医师应提高对肺放线菌病的认识,在肺部占位病变的鉴别诊断中要考虑到肺放线菌病,避免误诊误治,避免不必要的手术损伤.
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关 键 词: | 肺放线菌病 肺癌 误诊 |
Clinical analysis of four cases of pulmonary actinomycosis misdiagnosed as peripheral lung cancer |
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Abstract: | Objective To investigate the clinical characteristics of pulmonary actinomycosis and to improve the understanding of the clinical misdiagnosis of pulmonary actinomycosis. Method Clinical data of 4 pulmonary actinomycosis patients were analized and related literatures were reviewed. Results All the 4 pulmonary actinomy-eosis cases were misdiaguosed as lung cancer. Pulmonary actinomycosis can be correctly diagnosed through lung bi-opsy by CT-guided percutaneous paracentesis,fiberoptic,bronchoscopy,or pathological examination of the resected pulmonary lobe. Conclusions Pulmonary actinomycosis is a rare lung infection caused by fungus,and is liable to be misdiagnosed as peripheral lung cancer. The capacity of distinguishing pulmonary actinomycosis from peripheral lung cancer needs to be improved. |
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Keywords: | Pulmonary actinmycosisLung cancerMisdiagnose |
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