以脑转移瘤为首发症状收治,最终确诊为肺癌,而其肺部体征不明显者,临床较为少见。现报告如下。1 临床资料本组5例均为男性,年龄37岁～70岁,平均为57.6岁。临床上表现为头痛、呕吐者4例,偏瘫者5例,偏身感觉障碍者2例,局限性癫痫发作者1例,眩晕1例,精神症状者1例。本组病人均经全身系统检查,肝、胆、脾、胰B超。摄胸片示右下叶周围型1 With brain metastasis as the first symptom, it is eventually diagnosed as lung cancer. However, patients with incomplete pulmonary signs are rare in clinical practice. The report is as follows. 1 Clinical data 5 patients in this group were all males, aged 37 to 70 years, with an average of 57.6 years. The clinical manifestations were headache, vomiting in 4 cases, hemiparalysis in 5 cases, partial sensory impairment in 2 cases, limitation of epilepsy in 1 case, dizziness in 1 case, and psychiatric symptoms in 1 case. All the patients in this group were subjected to systemic examinations, and the liver, gallbladder, spleen, pancreas B ultrasound. Photograph shows the right lower lobe type 1