22例中青年肺癌的误诊原因分析

目的分析22例中青年肺癌的误诊原因。方法本组22例误诊病例中男17例,女5例,年龄20岁~50岁,均行胸部平片及CT检查,且有病理证实为肺癌。结果22例中误诊为肺结核14例,肺炎4例,其他疾病4例。误诊病例中呈肺段、肺叶阴影13例,结节及肿块病灶5例,胸腔积液2例,弥漫粟粒样影2例。结论临床及影像表现不典型,认识不足及影像学检查不全面是误诊的主要原因。

Analysis of the Misdiagnostic Causes for Lung Carcinoma in Twenty-two Middle-age And Young Patients

Objective To investigate the misdiagnostic causes for lung carcinoma in middle-age and young patients.Methods The patients in the study included 17 men and 5 women, with ages ranging from 20 to 50 years old. Chest X-radiography and CT scans were performed in all patients.Their pathologic findings were lung carcinoma.Results Misdiagnoses as pulmonary tuberculosis were mad in 14 cases, pneumonia in 4 cases, and other diseases in 4 cases.The lesions on X-radiography and CT films appeared as pulmonary segmental and lobar shadows in 13 cases, nodules and masses in 5 cases, pleural effusion in 2 cases,and diffuse small nodules type in 2 cases.Conclusion Atypical manifestation, unsufficient recongization of clinical and imaging characteristics and imcompletely image examination were the man course for misdiagnosis in middle-age and young patients with lung carcinoma.