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中心型肺癌的早期诊断较困难。我们统计了150例中心型肺癌院内、外误诊97例(65％)。分析误诊原因旨在提高诊断水平。材料和方法全部病例均为病理证实并经X线胸片,气管断层或纤维支气管镜确定癌瘤位于段以上支气管者。男性81例,女性16例。年龄19～78岁,平均51岁,<30岁3例、31～40岁20例、41～50岁24例、51～60岁29例、>61岁21例。有吸烟史者52例(53.6％),均为重度吸烟(7400支/年)。痰病理证实44例,纤支镜活检26例,淋巴结活检19例,手术16例,胸水6例。
Early diagnosis of central lung cancer is more difficult. We counted 150 cases of central lung cancer misdiagnosed 97 cases (65%). Analysis of the causes of misdiagnosis aims to improve the diagnostic level. Materials and methods All cases were confirmed by pathology and confirmed by X-ray, tracheostomy or fiberoptic bronchoscopy in cancer located above the segment of the bronchus. 81 males and 16 females. Patients were 19 to 78 years old with an average of 51 years old, <30 years old in 3 cases, 31 to 40 years old in 20 cases, 41 to 50 years old in 24 cases, 51 to 60 years old in 29 cases and> 61 years old in 21 cases. There are 52 cases of smoking history (53.6%), are heavy smoking (7400 / year). Sputum pathology confirmed 44 cases, fibro-biopsy in 26 cases, lymph node biopsy in 19 cases, 16 cases of surgery, pleural effusion in 6 cases.