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肺鳞癌伴肥大性骨关节病(HOA)的患者其骨关节病变往往先于肺部症状数月或数年出现,容易误诊为单纯骨关节病变,而忽略肺癌的诊断。现对本院收治的1例肺鳞癌伴HOA患者患病、发展及诊治过程,结合肺活检病理结果进行分析,并结合文献资料分析讨论如下。1病例资料患者女,53岁,因“四肢关节肿痛4个月”入院。院外曾考虑类风湿性关节炎,予以抗风湿治疗2个月无效。既往身体健康,无粉尘接触史及吸烟史。体查:生命征平稳,无浅表淋巴结
Patients with squamous cell carcinoma and hypertrophic osteoarthropathy (HOA) tend to have osteoarthropathy that precedes symptoms of the lung for several months or years, misdiagnosed as simple osteoarthropathy and ignores the diagnosis of lung cancer. Now admitted to our hospital in 1 cases of squamous cell carcinoma with HOA prevalence, development and diagnosis and treatment process, combined with pathological findings of lung biopsy analysis, combined with the literature analysis and discussion are as follows. A case data of female patients, aged 53, because of “limbs joint swelling and pain for 4 months ” admission. Had considered rheumatoid arthritis hospital, to be antirheumatic treatment of 2 months invalid. Previously healthy, dust-free contact history and smoking history. Physical examination: stable vital signs, no superficial lymph nodes