原发性肺癌自发性消散几乎不存在,作者报告1例鳞状细胞肺癌并证实有转移而自发性消散。病者男性,61岁,因左胁部痛,常规胸片示左肺门肿块入院。过去史:成年后吸烟>1包/d,有中度慢性阻塞性肺病,有慢性咳嗽、咳痰。曾切除多发性皮肤基底细胞癌。另病人患忧郁症并有幻听,近几年来每天服阿米替林和奋乃静,否认服用其他药物。体检:发育营养良好,精神清楚,带助听器,定向力、对答正常,生命体征正常。肺部有散在性呼气性鼾音,余体检无明显异常。血象和血生化检查正常。肺功能检查用力肺活量2.32L(预计值的50%),用力 The spontaneous disappearance of primary lung cancer is almost non-existent. The authors reported 1 case of squamous cell lung cancer and demonstrated spontaneous metastasis after metastasis. The patient, male, 61 years old, was admitted to the hospital due to left flank pain and conventional chest X-ray. Past history: Smoking after adulthood >1 pack/d, moderate chronic obstructive pulmonary disease, chronic cough, and cough. Multiple basal cell carcinomas of the skin have been removed. Another patient suffers from depression and auditory hallucinations. In recent years, amitriptyline and perphenazine have been taken and denied taking other drugs. Physical examination: good nutrition, good spirit, hearing aid, orientation, normal answer, normal vital signs. There is a scattered breath exhalation in the lungs, and there is no obvious abnormality in the remaining physical examinations. Blood and blood biochemical tests were normal. Pulmonary function test 2.32L of forced vital capacity (50% of predicted value), force