肺癌合并肺结核98例临床分析

目的：探讨肺癌合并肺结核的临床特征。方法回顾性分析98例肺癌合并肺结核病例。结果痰结核菌检查阳性者12例（12.2%），阴性86例（87.8%）；腺癌41例（41.8%），鳞癌37例（37.8%），未分化小细胞癌13例（13.2%），肺泡细胞癌5例（5.1%），未定型2例（2.1%）；Ⅰ期9例（9.1%），Ⅱ16例（16.3），ⅢA期26例（26.5%），ⅢB期31例（31.6%），Ⅳ期16例（16.3%）。肺癌病灶与结核病灶位于同一肺叶占66.3%。结论肺结核合并肺癌无明显特异性临床表现，临床医师在治疗肺结核时，应警惕恶性变的可能，并尽早进行相关检查，避免漏诊、误诊。

Objective To investigate the clinical diagnosis and treatment of patient s with pulmonary tuberculosis combinnation with primary lung cancer .Methods A total of 98 patient s with primary lung cancer complicated with pulmonary tuberculosis primarily or secondarily were enrolled in this study.Results12 cases were positive about Sputum smear,others were negative. All the patients’histopathology types were squarmous cell carcinoma 37（37.8%）,adenoarcinoma 41（41.8%）, sclc13（13.2%）, bronchiolo-alveolar carcinoma 5（5.1%）,unclassified 2（2.1%）. Disease stage wasⅠ9（9.1%）,Ⅱ16 （16.3%）,ⅢA26（26,5%）,ⅢB31（31.6%）,Ⅳ16（16.3%）.The coexistence of two diseases in the same lobe was 66.3%. Conclusion Because pulmonary tuberculosis is similar to carcinoma in clinical manifestation and chest radiological features,missed diagnosis or misdiagnosis often occur to lung cancer complicated by tuberculosis .Doctors should pay more attention to it .It is important to take many methods to improve lung cancer dignotisic rate.