7例艾滋病患者合并肺癌的CT征象分析

目的总结艾滋病患者合并肺癌的临床、CT表现,提高其诊断准确率。方法回顾性分析7例经病理证实的艾滋病患者合并肺癌的临床及CT表现。结果本组7例,平均43.3岁,男5例,女2例。咳嗽、咳痰5例,气短3例、发热3例和胸痛2例。吸烟史6例。发病部位:右肺4例、左肺3例。周围型4例、中央型3例。合并肺孢子菌肺炎2例,细菌性肺炎1例。腺癌2例,鳞癌4例,小细胞癌1例。结论 HIV阳性肺癌患者无特异性症状、体征,很难与AIDS相关的机会性感染与机会性肿瘤相鉴别,易误诊,而CT扫描是艾滋病患者合并肺癌的重要检查方法。

Objective To summarize the AIDS patients with lung cancer in clinical, CT performance and improve its diagnostic accuracy. Methods We retrospectively analyzed seven cases of AIDS patients with lung cancer and CT findings of pathologically confirmed. Results Of the seven cases, with an average 43.3 years old, 5 males and 2 females. Cough, sputum five cases, three cases of shortness of breath, three cases of fever and chest pain for two cases. Smoking history of six cases. Disease areas： the right lung four cases, the left lung in three cases. Peripheral four cases, three cases of central type. Merge the two cases of Pneumocystis pneumonia, and one cases of bacterial pneumonia. Two cases of adenocarcinoma, 4 cases of squamous cell carcinoma, and one cases of small cell carcinoma. Conclusion HIV-positive patients with lung cancer, non-specific symptoms, signs, it is difficult to AIDS-related opportunistic infections and opportunistic tumors differentiated, often misdiagnosed, and the CT scan is an important examination of AIDS patients with lung cancer.