年过半百的张师傅身高体壮,是某化工厂的生产标兵。他以往从未进过医院,偶有不适在厂卫生室拿点药就解决问题。然而,3个月前他关节疼痛,尤以双踝关节为甚。开始以为是风湿痛,但服用抗风湿药不见效果,而且关节逐渐肿胀。后来到医院理疗,疗效不明显,半月后症状反而加重。于是,张师傅到医院检查,胸部X光摄片发现左上肺有4厘米×3厘米的阴影,诊断为肺癌而入院。入院后做了左上肺叶切除术。术后不但恢复良好,而且关节痛也完全消失了。 肺癌常见的症状如咳嗽、血痰、胸痛等,容易使人警惕,但没有这些症状而仅有关节痛,则往往易被误诊为“风湿性关节痛”。其实,肺癌的主 Master Zhang over half a year of tall and strong, is a chemical plant production pacesetter. He has never been to the hospital in the past, occasionally uncomfortable in the factory health clinic to take some medicine to solve the problem. However, he had joint pain three months earlier, especially with ankle joint. Began to think it is rheumatic pain, but taking anti-rheumatic drugs no effect, and the gradual swelling of the joints. Later, to the hospital physiotherapy, curative effect is not obvious, half a month later the symptoms actually aggravate. So, Master Cheung to the hospital for examination, chest X-ray film found in the left upper quadrant of 4 cm × 3 cm shadow, diagnosed as lung cancer and admission. After leaving the hospital to do a left upper lobe resection. Postoperative recovery not only well, but also completely disappeared. Common symptoms of lung cancer such as cough, bloody sputum, chest pain, etc., easy to be on guard, but without these symptoms and only joint pain, it is often easily misdiagnosed as “rheumatic arthralgia.” In fact, the main lung cancer