论文部分内容阅读
目的探讨细支气管肺泡细胞癌误诊原因。方法用回顾性分析法对经病理学或细胞学证实的103例细支气管肺泡细胞癌患者的主要误诊原因进行总结。结果103例患者首次就诊后3月或以上的时间里尚不明确诊断者52例，临床误诊率达50.5％。误诊主要原因包括：患者无临床症状，未能引起重视；结节型病灶早期生长缓慢，倍增时间长，易误诊为良性病变；浸润型病灶模糊，边界不清，易误诊为肺炎、浸润性肺结核等；弥漫型形态多样，易误诊为粟位性肺结核、肺纤维化或肺内感染等。结论细支气管肺泡细胞癌临床及X线表现多样，易误诊误治，应引起临床医生的高度重视。
Objective To investigate the causes of misdiagnosis of bronchioloalveolar cell carcinoma. Methods Retrospective analysis was used to summarize the main causes of misdiagnosis in 103 patients with bronchioloalveolar cell carcinoma confirmed by pathology or cytology. Results Of the 103 patients who were diagnosed at least 3 months or more after the first visit, 52 patients were still not diagnosed. The clinical misdiagnosis rate was 50.5%. Misdiagnosis of the main causes include: patients with no clinical symptoms, failed to pay attention to; nodular lesions early growth slow, doubling time, easily misdiagnosed as benign lesions; infiltrative lesions fuzzy, unclear boundary, easily misdiagnosed as pneumonia, infiltrative pulmonary tuberculosis And so on; diffuse type and diverse, easily misdiagnosed as Su bit tuberculosis, pulmonary fibrosis or pulmonary infection. Conclusions The bronchial alveolar cell carcinoma has many clinical and X-ray manifestations, which may be misdiagnosed and mistakenly treated. It is of great importance to clinicians.