青年人肺癌的误诊原因分析

近年来青年人肺癌的发病率有所增加,误诊率亦高,本组误诊率为71％。本文分析了误诊的原因,除警惕性不高外,误诊为肺结核、结核性胸膜炎为59.2％,因肺结核仍为青年人的常见病,而肺不张为青年人肺癌常见的X线表现;虽右中叶肺不张以炎症为主,但肺癌比例有所增多。青年人肺癌其病理特征以未分化癌居首位。

MISSED DIAGNOSIS OF LUNG CANCER IN YOUTH

Recently, the incidence of lung cancer has a terdercy to in-crease in youth. As the rate of the missed diagnosis is quite high (71% in this paper), the early finding and diagnosis play a major role in the prognosis. We found the factors leading to the missed diagnosis were varied, including less attention to the discase. Lung cancer was frequently misdiagnosed as plcural and pulmonary tuberculosis ( 59.2?o ) and bacterial pneumonia. Young patients with lung cancer were often radiologically presented with atelectasis but most middle lobe attributed to inflamation. Undifferentiated carcinoma was most often found, pathologically.