本文报告了以胸痛为唯一症状的肺癌25例临床资料,均经纤维支气管镜检查确诊,占同期肺癌的2.4％。本组中X线胸片中有高度可疑肿瘤表现者24例(24/25),病变右侧多于左侧,上叶多于中叶及下叶,其中腺癌和小细胞癌比例相对较高,分别占32％和24％。文中分析了此种改变的可能机理。提示单一胸部闷痛者,早期X线及纤支镜检有助于诊断和治疗。 This article reports the clinical data of 25 cases of lung cancer with chest pain as the only symptom, all diagnosed by fiberoptic bronchoscopy, accounting for 2.4% of lung cancer in the same period. There were 24 cases (24/25) of highly suspicious tumors in the X-ray in this group. The right side of the lesion was more than the left side, and the upper lobe was more than the middle and lower lobes. The ratio of adenocarcinoma and small cell carcinoma was relatively high. , accounting for 32% and 24%, respectively. The paper analyzes the possible mechanism of this change. Tips for a single chest pain, early X-ray and fibro-bronchoscopy can help diagnosis and treatment.