The Investigation of Untypical Pulmonary Carcinoma Misdiagnosed by CT: Report of 65 Cases_West China Medical Journal

Authors：

WANG Jianqiu , CHEN Gangwen , LUO Ying.

Department of Radiology,the First Hospital of Yibin City, Yibin Sichuan 644000,China;

Corresponding?author：

Keywords：

肺癌; 體層攝影術; X線計算機; 誤診

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目的:分析不典型肺癌CT誤診的原因,以提高對不典型肺癌的認識水平。方法:回顧性經手術、病理及細胞學檢查證實的不典型肺癌誤診病例65例的臨床及CT資料。其中胸部CT平掃20例,平掃+增強掃描45例。結果:誤診為肺結核28例,肺炎23例,慢性阻塞性肺病11例,支氣管擴張2例,肺膿腫1例。誤診時間1～11個月。結論:不典型肺癌CT表現呈多樣性,當肺部有多發病灶特別是合并基礎疾病時,容易造成誤診。反復脫落細胞檢查、及時纖支鏡檢、穿刺活檢及密切隨訪復查是減少不典型肺癌誤診的有效方法。

Citation： WANG Jianqiu,CHEN Gangwen,LUO Ying.. The Investigation of Untypical Pulmonary Carcinoma Misdiagnosed by CT: Report of 65 Cases. West China Medical Journal, 2009, 24(6): 1421-1423. doi: Copy

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7.	趙立群,李雅莉,張娟妮.青年人肺癌485例誤診分[J].陜西醫學雜志,2004,33(7):651-652.
8.	王睿,郭西玲等.肺癌誤診為肺炎36例分析[J].陜西醫學雜志,2008,37(1):119-120.
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11.	梁秀純,杜鳳琴.60例老年肺癌誤診原因分析[J].丹東醫藥,2008,1:36-36.

1.
2. WEBB WR.Radiologic evaluation of the　solitary pulmonary nodule[J].AJR,1990,154:701-708.
3. CAETA M,BARONE M,RUSSI EC, et al. Carcinomatous solitary ulmonary nodules: evaluation of the tumorbronchi relationship withsection CT[J]. Radiology, 1993,187:535-539.
4. 田輝.肺瘢痕癌21例臨床分析[J].中華腫瘤學雜志, 1991,(4):317-317.
5. 趙玉杰,易習之,等.周圍型肺癌與結核球X線對比研究[J].實用放射學雜志,1993,9(11):647-650.
6. 孫秀權.肺癌誤診為肺結核125例分析[J].中國誤診學雜志,2007,7(12):2774-2774.
7. 趙立群,李雅莉,張娟妮.青年人肺癌485例誤診分[J].陜西醫學雜志,2004,33(7):651-652.
8. 王睿,郭西玲等.肺癌誤診為肺炎36例分析[J].陜西醫學雜志,2008,37(1):119-120.
9. 周新華.肺部彌漫性病變中肺癌和肺結核的CT影像鑒別[J].結核病與胸部腫瘤,2006,4:305-309.
10. 孫秀娥,李海東.老年人肺癌28例誤診分析[J].陜西醫學雜志,2002,31(10):942-942.
11. 梁秀純,杜鳳琴.60例老年肺癌誤診原因分析[J].丹東醫藥,2008,1:36-36.

West China Medical Journal

The Investigation of Untypical Pulmonary Carcinoma Misdiagnosed by CT: Report of 65 Cases

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