肺癌合并肺结核54例临床分析

目的　探讨肺癌合并肺结核的诊治及两者关系。方法 回顾性分析54例肺癌合并肺结核。结果 鳞癌18例,腺癌23例,腺鳞癌3例,小细胞癌2例,未定类型癌7例,Ⅰa期2例,Ⅰb期1例,Ⅱb期6例,Ⅲa期10例,Ⅲb期10例,Ⅳ期21例；原发型结核1例,继发肺结核43例；7例漏诊肺癌,4例漏诊肺结核。癌灶与结核灶同处一叶占78.1%。结论 肺癌合并结核易造成漏诊、误诊,临床医师应提高警惕,两病如能同时治疗,可延长患者生存期。癌灶与结核灶有紧密联系。

Lung cancer complicated by tuberculosis: a clinical analysis of 54 cases

Objective To study on clinical diagnosis and treatment of lung cancer complicated by tuberculosis and the relationship of two diseases. Method A total of 54 patients with lung cancer complicated by tuberculosis were analysed retrospectively. Results All the patients’ histopathology types were squarmous cell carcinoma(18), adenoarcinoma(23), adenosquamous carcinoma(3),SCLC(2), unclassified carcinoma(7). Disease stage wasⅠa(2),Ⅰb(1),Ⅱb(6),Ⅲa(10),Ⅲb(10),Ⅳ(21).The type of tuberculosis wasⅠ(1), Ⅲ(43).Seven patients were missed diagnosed carcinoma. Four patients were missed diagnosed tuberculosis. The coexistence of two diseases in the same lobe was 78.1%.Conclusion Lung cancer complicated by tuberculosis is missed diagnosis or misdiagnosis easily. Doctors should pay more attention to it. Its prognosis is very bad . If the two diseases could be treated at the same time, the patients would survival longer. Carcinoma lesion and tuberculosis lesion have tight relationship.