不典型肺结核瘤误诊肺癌的原因分析

ANALYZING THE REASONS THATLEAD TO MISDIAGNOSIS OF UNTYPICAL PULMONARY TUBERCUOMA AS LUNG CANCER

目的 :对不典型肺结核误诊原因进行分析。方法 :回顾 42例不典型肺结瘤的临床资料和文献复习。结果 :自 196 2～ 2 0 0 0年间经手术治疗并经病理证实的 10 3例肺结核瘤中 ,有 42例术前诊断为肺癌。误诊主要受病员的年龄、性别、吸烟史、肺结核瘤的不典型影象学特点和经抗痨治疗后肺部包块增大等影响。结论 :应采用多种方法寻找病理依据 ,明确诊断 。

Objective:To analyze the reasons leading to misdiagnosis of untypical pulmonary tuberculoma.Method:The clinical data of 24 untyical tuberculoma patients were retrospectively studied and the references reviewed.Result:Among 103 tuberculoma patiants that received operational treatment and were diagnosde pathologically from 1962～2000,42 patients were misdiagnosed as lung cancer defore operation.The factors leading to the misdiagnosis involve age、sex、smoking history、untypical radiological characteristics and the increasing of pulmonary lump size after antituberculotic treament etc.Conclusion:In order to confirm the diagnosis,various different methods shoud be used to find out the pathological basis.Only then can we avoid mistreating and misdagnosing to the maximum degree.