急性肺脓肿愈合后原部位肺癌8例分析

A Clinical Study of 8 Patients with Former Place Pulmonary Cancer Where Acute Lung Abscess Healed

目的 研究急性肺脓肿治愈后原部位发生肺癌的临床表现。方法 采用病例回顾分析的方法,对8例急性肺脓肿愈合后原部位发生的肺癌进行分析。结果 肺癌出现在肺脓肿愈合后10～34个月,平均21.3个月。5例经开胸手术确诊,3例经纤维支气管镜检查确诊。病理结果:腺细胞癌4例,鳞状细胞癌3例,小细胞癌1例。本组8例发生肺癌后主要症状有咳嗽8例,咳白色痰3例,咳脓性痰4例,血性痰1例,发热5例,胸闷6例,胸痛4例,消瘦2例。结论 急性肺脓肿愈合后原部位再次出现球形病变,应考虑有肺癌可能性。经胸手术和纤支镜检查是对病变进行确诊的主要手段。

Objective To study the clinical manifestation of 8 patients with former place pulmonary cancer where acute lung abscess healed. Methods Retrospective review 8 patients with former place pulmonary cancer where acute lung abscess healed. The age of the patients ranged from 41 to 74 years (mean: 63. 5 years ) , 6 were male and 2 were female. Results 5 cases were diag-nosised by transthoracotomy, 3 cases were diagnosised by fiberoptic bronchoscopy. Pathological diagnosised: 4 were adenocaricino-ma,3 were squamous cell carcinoma, 1 was small cell bronchogenic carcinoma. The main symptoms and signs were that 8 cases had tussis, 4 cases had expectoration, 3 cases had vomicae, 1 case sputum mixed with blood, 5 cases had fever, 6 cases had feeling oi oppression in the chest, 4 cases had pectoralgia, 2 cases had marasmus. Conclusion Globular hunch that had been found in the former place where acute lung abscess healed, should be considered the likehood to be pulmonary cancer. Transthoracotomy and fiberoptic bronchoscopy are the main measure to diagnosis the pathological changes.