肺结核肺癌并存的部位及病理类型分析

Analysis of site and pathological type about coexistence of lung cancer and tuberculosis

目的 探讨肺结核与肺癌并存的发生部位有无相关及肺癌的病理类型。方法 回顾性分析 32例肺结核合并肺癌的发生部位及病理检查结果。结果 肺结核合并肺癌以肺鳞癌并存为主 ( 6 2 .7% ) ;主要临床表现为咳嗽、咳痰及咯血。两者并存在同侧肺者为 93.7% ,并存于同一叶段的占 5 6 .3% ,其中的 83.3%并存于上叶肺。常因肺结核治疗中病情恶化或出现块影等考虑到并存肺癌。结论 肺结核与肺癌并存的发生部位可能存在相关性 。

Objective To study it relativity in occurece site of lung cancer and tuberculosis was existence and the pathological type of lung cancer when coexistence of this two diseases. Methods Retrospective analyse the site and pathological result of both lung cancer and tuberculosis. Results Lung cancer coexisting with tuberculosis were mostly squamous type(62.5%) .Cough and hemoptysis were the main clinical manifestations. The occurrence of both diseases in the same side of the lung were 93.7%.As coexistence of both diseases in the same lobe or segment was 56.3%,and coexistence of both diseases in the same upper lobe of lung was 83.3%, and often cancer was considered when there were aggregation of clinical symptoms and mass appearance in the X ray during the treatment of the tubeculosis. Conclusions The occurrence of lung cancer could be correlated to the site of tuberculosis ,lung cancer coexisting with tuberccculosis were mostly squamous type.