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肺部原发性癌肿或轉移癌呈粟粒型者,临床上并不多見。我們曾遇到三例,胸部X綫影象极似粟粒型肺結核,后經病理及临床观察証明为細枝气管癌或腺癌。两例原发,一例为胃腺癌引起的轉移。因此肺科临床工作中应注意其鑑別診断。例1,李某,女,46岁,因体重减輕,乏力,咳嗽,反复小量咯血半年多,于1961年9月23日入院。9月初透視怀疑为急性粟粒型結核。入院后体溫37℃左右,咳嗽吐稠痰,每日100～500毫升。除左鎖骨上可捫到肿大淋巴結外,无其他
Primary lung cancer or metastatic carcinoma was miliary type, clinically rare. We have encountered three cases, the chest X-ray images resembling miliary tuberculosis, after pathological and clinical observation proved to be twig bronchial cancer or adenocarcinoma. Two cases of primary, one case of gastric adenocarcinoma caused by the transfer. Therefore, the clinical diagnosis of pulmonary disease should pay attention to its differential diagnosis. Example 1, Lee, female, 46 years old, due to weight loss, fatigue, cough, repeated small amounts of hemoptysis for more than six months, on September 23, 1961 admission. Perspective early September suspected acute miliary tuberculosis. After admission, the body temperature about 37 ℃, cough spit thick sputum, 100 to 500 ml daily. In addition to the left supraclavicular palpable enlarged lymph nodes, no other