本文报告了1例结核分枝杆菌、血吸虫童虫、蛔虫幼虫并存肺癌病例。患者经CT确诊右上肺肺癌,肿瘤病理切片见结核分枝杆菌、血吸虫童虫、蛔虫幼虫。术后痰检见抗酸杆菌,大便中查及血吸虫虫卵,无蛔虫虫卵。口服甲苯咪唑片和吡喹酮片后蛔虫感染和血吸虫感染得到控制,患者食欲及贫血症状好转,胸片及胸腰椎片未见结核症状,未作抗结核菌治疗。患者肺癌化疗4疗程后出院。 This paper reports a case of Mycobacterium tuberculosis, schistosomiasis Schistosoma larvae co-exist in cases of lung cancer. Patients diagnosed by CT right lung lung cancer, tumor pathology see Mycobacterium tuberculosis, schistosomula worms, roundworm larvae. Postoperative sputum see acid-fast bacilli, schistosomiasis check stool egg, no roundworm eggs. After oral administration of mebendazole and praziquantel tablets roundworm infection and schistosomiasis control, patients with appetite and anemia improved, chest and thoracic and lumbar spondylosis no tuberculosis symptoms, no anti-TB treatment. Patients with lung cancer after 4 courses of chemotherapy were discharged.