早期肺癌的诊断

目的 :通过对 4 8例早期肺癌的分析 ,提出了发现和诊断早期肺癌的方法。方法 :收集我院1995～ 1999年万余例肺部疾病患者进行纤维支气管镜检查 ,经病理和细胞检查确诊肺癌 3648例 ,对其中属早期肺癌 4 8例进行分析。结果 :早期中心型肺癌和周围型肺癌的发生部位、进展形态和临床症状不同 ,其早期发现的诊断也不同。结论 :凡临床表现干咳、痰血、肺部同一部位反复出现炎症者 ,应及时通过胸部X线、CT、痰细胞学和纤支镜检查以明确诊断。对高危人群和高发地区前瞻性普查是发现无症状小肺癌的重要手段

The Diagnosis of Early Lung Cancer

Objective To find ways of detecting and diagnosing early lung cancer through analysing the clinical data of 48 cases.Methods in our hospital During the period of 1995 to 1999,3 648 cases with lung cancer were diagnosed pathologically and cytologically,out of them 48 cases with early lung cancer were analysed in this paper.Results The positions,progressive patterns and clinical symptoms of the early central lung cancer are different from those of the peripheral ones and so are the ways of their detection and diagnoses.Couclusions Patients with clinical manifestations such as dry cough,sputum with blood and repeated inflamations of the lung at the same placse should be examined by means of chest X ray,chest CT, sputum cytomorphology or fiberbronchoscope.One of the important methods to find small lung cancer without symptoms is to conduct prospective massive surveys among the people of high risk and to survey in high incidence areas regularly.