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某些HIV阳性支气管肺癌患者的放射学表现可类似或伴有炎性疾病改变,为了提供有效的鉴别诊断信息,作者对30例经证实的支气管肺癌同时HIV阳性的患者进行胸片及CT检查将放射学表现和是否存在胸部的机会性感染进行相关性研究。在HIV30例阳性的肺癌者中发现14例(47％)同时伴有AIDS,除1例外全是男性。年龄32～66岁。绝大多数(90％)有吸咽史。30例中有18例(60％)有肺结核史、卡氏肺囊虫、或两者均有。对27例X线胸片和25例CT影像中所发现的肿瘤大小和部位、肿大淋巴结胸膜改变和肺部浸润情况进行了回顾性分析。
The radiological findings of some patients with HIV-positive bronchogenic carcinoma may be similar or accompanied by inflammatory changes. To provide effective differential diagnosis information, the authors performed chest radiographs and CT scans on 30 patients with confirmed bronchial lung cancer and HIV-positive patients. Radiological findings were correlated with the presence or absence of opportunistic infections in the chest. Among the 30 cases of HIV positive lung cancer, 14 cases (47%) were found to be accompanied by AIDS, with one exception being all men. Age 32 to 66 years old. The vast majority (90%) had a history of sucking. Of the 30 patients, 18 (60%) had a history of pulmonary tuberculosis, Pneumocystis carinii, or both. The size and location of the tumor, the pleural changes in the enlarged lymph nodes, and the pulmonary infiltrates found in 27 cases of X-rays and 25 cases of CT images were retrospectively analyzed.