不典型青年肺癌32例误诊分析

Analysis of misdiagnosis on 32 young patients with non-typical lung cancer

目的探讨不典型青年肺癌误诊的原因,以期提高对本病的认识。方法对32例误诊的青年肺癌(<35岁)患者的发病情况、临床表现、影像学检查、支气管镜及手术病理检查进行分析。结果32例患者中,误诊为肺结核8例,肺炎7例,结核性胸膜炎6例,肩周炎3例,关节炎2例,短暂性脑缺血发作2例,偏头痛2例,椎间盘突出2例。结论青年肺癌临床症状不典型,误诊率较高。

Objective To investigate the reasons of misdiagnosis on the young patients with non-typical lung cancer, to enhancing the cognition of the disease. Methods The data of incidence, clinical manifestation,imageology, bronchoscope, surgical pathologic examination of 32 cases with non-typical lung cancer were analyzed. Results 8 cases of 32 patients were misdiagnosed as tuberculosis ,7 cases were misdiagnosed as pneumonia ,6 cases were misdiagnosed as tuberculosis pleurisy ,3 cases were misdiagnosed as omarthritis ,2 cases were misdiagnosed as arthritis ,2 cases were misdiagnosed as transient ischemic attack,2 cases were misdiagnosed as hemicrania,2 cases were misdiagnosed as intervertebral disk hernia. Conclusion The clinical symptom of young patients with non-typical lung cancer was non-typical, and the misdiagnosis rate was high.