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支气管类癌是一种较为少见的原发性支气管低度恶性肿瘤,临床容易误诊。我院1977年9月～1994年4月收治23例,为了提高对本病的诊治能力,现结合文献复习报告如下。 1 临床资料 1.1 一般资料 23例中男15例,女8例。年龄最小23岁,最大65岁,平均51.6岁。其中40岁以上17例,占73.9％,以中者年患者为多见。 1.2 临床症状 23例中表现为反复肺感染14例,占60.9％,胸痛11例,占47.8％,咯血或痰中带血10例,占43.7％,其中1例反复咯血长达20年,发热8例,占34.8％;喘憋4例,占17.4％;脑转移致头痛1例;合并ACTH异位症1例;无症状者7例,占30.4％。 1.3 X线检查 全部患者摄胸部平片或断层片。表现为结节状或团块状阴影16例,其中肿瘤内有钙化者2例,病变边缘有毛刺及浅分叶13例,周围多个结节影1例;肺叶不张影6例;一侧全肺不张影1例。
Bronchial carcinoid is a relatively rare type of primary bronchial low-grade malignancy that is easily misdiagnosed in clinical practice. In our hospital from September 1977 to April 1994, 23 cases were treated. In order to improve the ability to diagnose and treat the disease, the following literature review reports are included below. 1 Clinical data 1.1 General information 23 cases of 15 males and 8 females. The youngest is 23 years old and the oldest is 65 years old, with an average of 51.6 years old. Among them, 17 cases were over the age of 40, accounting for 73.9%, and those with middle age were more common. 1.2 Clinical manifestations 23 cases showed repeated pulmonary infection in 14 cases, accounting for 60.9%, 11 cases of chest pain, accounting for 47.8%, hemoptysis or sputum with blood in 10 cases, accounting for 43.7%, of which 1 case of repeated hemoptysis up to 20 years, fever 8 cases, accounting for 34.8%; 4 cases of asthma, accounting for 17.4%; 1 case of headache caused by brain metastases; 1 case with ACTH heterotopic disorder; asymptomatic 7 cases, accounting for 30.4%. 1.3 X-ray examination of all patients taken chest plain film or slice. There were 16 cases of nodular or mass shadow, including calcification in the tumor in 2 cases, burr in the margin of the lesion and 13 cases in shallow lobulation, 1 case of multiple nodules in the periphery, and 6 cases of nodule in the lobe; Side of the whole lung a shadow of 1 case.