肺放线菌病误诊为周围型肺癌临床分析

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.

Clinical analysis of four cases of pulmonary actinomycosis misdiagnosed as peripheral lung cancer

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.