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肺癌患者大多数以咳嗽、咯血、胸痛而就医,但部份患者却以肺外特殊表现就诊,为提高对肺癌非转移性肺外表现的认识,我院1988年1月至1993年5月收治93例肺癌患者(经病理诊断63例)中7例有非转移性肺外表现,现将其特点报告如下。 临 床 资 料 本组7例肺癌患者经X线胸片、电子计算机X线体层扫描(CT)、纤维支气管镜等综合检查而确诊。并排除了脑、脊髓、骨等转移引起的肺外表现。3例杵状指趾出现时间不详。3例关节痛与1例肌无力等肺外表现均较呼吸道症状先出现15天至2个多月。7例肺癌患者的肺外表现详细临床资料见附表。
The majority of patients with lung cancer received treatment for cough, hemoptysis, and chest pain. However, some patients presented with extrapulmonary manifestations. In order to raise awareness of non-metastatic extrapulmonary manifestations of lung cancer, our hospital was admitted from January 1988 to May 1993. Of the 93 patients with lung cancer (63 were pathologically diagnosed), 7 had non-metastatic extrapulmonary manifestations, and their characteristics are reported below. Clinical data 7 patients with lung cancer in this group were diagnosed by X-ray, computed tomography (CT), and fiberoptic bronchoscopy. Exclusion of extrapulmonary manifestations caused by metastasis of the brain, spinal cord, and bone was ruled out. The appearance time of 3 cases of clubbed digits was unknown. The extrapulmonary manifestations of 3 cases of arthralgia and 1 case of muscle weakness appeared more than 15 days to more than 2 months before the respiratory symptoms. Detailed clinical data of extrapulmonary manifestations in 7 patients with lung cancer can be found in the attached table.