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我院自1970年4月～1979年9月共收治肺癌51例,其中10例是在肺结核基础上并发的,且开始时漏诊肺癌。现将此10例进行分析,以便吸取教训、提高诊断水平。一、一般资料10例中男7例,女3例;年龄自56岁～79岁,平均65岁,均有肺结核病史。10例中鳞癌6例、腺癌3例、未分化癌1例,均多次经胸片检查,最后为病理或细胞学检查所证实。8例为中心型、2例为周围型。从出现咳嗽加剧、血痰、胸痛等症状首次就诊至最后确诊,误诊时间3～12月不等。
In our hospital from April 1970 to September 1979, 51 cases of lung cancer were treated. Of these, 10 cases were complicated by pulmonary tuberculosis and were initially missed. These 10 cases are now analyzed to learn lessons and improve diagnostics. First, general information 10 cases of 7 males and 3 females; aged from 56 to 79 years old, average 65 years old, have a history of tuberculosis. In 10 cases, 6 cases of squamous cell carcinoma, 3 cases of adenocarcinoma, and 1 case of undifferentiated carcinoma were examined by multiple chest X-rays and finally confirmed by pathological or cytological examination. 8 cases were central and 2 cases were peripheral. From the first visit to the final diagnosis of symptoms such as increased cough, blood stasis, and chest pain, the time of misdiagnosis varies from 3 to 12 months.