肺癌67例误诊原因分析

Misdiagnosis analysis of lung cancer in 67 cases

目的分析67例肺癌误诊的病例,探讨减少肺癌误诊的方法。方法回顾性分析2006年6月～2012年6月病理证实为肺癌,而影像诊断为其他疾病的患者,分析误诊原因。结果本组患者误诊原因较多,病理证实误诊原因主要有肺炎10例、肺结核21例、炎性假瘤17例、肺曲菌病6例,肺内肉芽肿性疾病7例,其他原因6例。结论认真分析临床症状及影像资料,通过多种检查方法互补可以减少误诊的发生,提高肺癌的诊断率。

Objective In order to explore the way of reducing misdiagnosis of lung cancer,we analysed 67 cases of lung cancer by misdiagnosis.Methods The cases of patients from June 2006 to June 2012 that pathology confirmed lung cancer,but the imaging diagnosis were other diseases were retrospectively analyzed,and the reasons of misdiagnosis were analyzed.Results There was much misdiagnosed reasons in patients,and with 10 cases of the pneumonia,21 cases of the tuberculosis,17 cases of the inflammatory pseudotumor,6 cases of the pulmonary aspergillosis,7 cases of the pulmonary granulomatous disease,6 cases of other diseases by pathology confirmed.Conclusion Careful analyze the clinical symptoms and imaging data,complement other check methods are necessary to reduce the incidence of misdiagnosis and improve the diagnosis of lung cancer.