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隐性肺癌临床诊断较困难,报告1例如下。患者男,52岁,咳嗽,痰中带血1年,痰检2次查见癌细胞,纤维支气管镜(简称纤支镜)检查示右肺上叶支气管下壁离嵴0.8cm处见0,4×0.3cm大小的粘膜粗糙区,活检病理报告为支气管粘膜鳞状上皮不典型增生到原位癌。CT检查示右肺上叶支气管起始处后下部壁呈局限性增厚,约1.4×0.6cm,略向腔内突出;双肺野清晰,无纵隔淋巴结肿大。既往有慢性支气管炎史,嗜烟30年,15-30支/天。查体(一)。随即入院切除右肺上叶送病检。病理检查:右肺上叶标本,肺体积12×9×4cm未见异常,支气管长1.9cm,横径1.5cm、壁厚0.3-0.5cm,支气管粘膜面见1×0.8cm增
The clinical diagnosis of recessive lung cancer is more difficult. The report 1 is as follows. Male patient, 52 years old, with cough, bloody sputum for 1 year, sputum examination 2 times to see cancer cells, fiberoptic bronchoscopy (brochoscope) examination showed that the right upper lobe bronchial inferior wall 0.8cm from the sputum see 0, 4 A mucosal rough area of ×0.3 cm in size, biopsy pathology reports bronchial mucosal squamous epithelial dysplasia to carcinoma in situ. CT examination showed that the posterior wall of the upper lobe of the right lung showed a localized thickening of the posterior wall, approximately 1.4 × 0.6 cm, protruding slightly from the lumen; the lung fields were clear and no mediastinal lymph nodes were enlarged. Previous history of chronic bronchitis, 30 years of smoke, 15-30/day. Examination (a). Immediately after admission, the right upper lobe was removed for medical examination. Pathological examination: right lung upper lobe specimen, lung volume 12 × 9 × 4cm no abnormalities, bronchial length 1.9cm, transverse diameter 1.5cm, wall thickness 0.3-0.5cm, bronchial mucosal surface see 1 × 0.8cm increase