肺炎型肺癌1例报道并文献复习

A case report of pneumonic-type lung cancer and literatures review

目的提高对肺炎型肺癌的认识，减少延诊误诊的发生。方法报道1例典型的肺炎型肺癌病例，并进行相关文献复习，分析和讨论本病的流行病学、临床表现、诊断及治疗。结果肺炎型肺癌多见于腺癌，可发生于任何年龄段，女性多于男性，临床表现无特异，影像表现为炎症样或实变型，但抗感染治疗无效，需借助痰脱落细胞学、电子支气管镜以及CT引导经皮肺穿刺活检术等辅助检查明确诊断。结论肺炎型师癌是周围型肺癌的一种特殊表现形式，重视随访，合理运用检查，肺炎型肺癌的延诊洪诊是可以避免的。

Objective To promote the awareness of pneumonic type lung cancer （PTI.C） and avoid the occurrence of delaying and misdiagnosing patients. Methods Reporting one ease of PTLC and reviewing related literature, analyzing and discussing the epidemiology clinical features, diagnusis and therapy of PTLC. Results PTLC was commonly seen in adenoearcinoma and could be found in any age. The ineidcnee of female was higher than male. The clinical manifestations were nonspecitic, while imaging manifestations showed as inflammatory or consolidation. History of negative response to the anti infection treatment,accessory examinatiun means including liquid based cytology ceil examination of sputum, electronic bronchoscope and CT guided percutaneous lung biopsy would be helpful to make a definitive diagnosis. Conclusions PTI.Cisa special manifestation of peripheral lung cancer. Through close follow up and proper auxiliary examination, the PTLC can be avoided misdiagnosed.