本文报道并复习国内文献共10例原发性肺隐球菌病。除1例根据痰菌阳性而诊断外,9例术前误诊为肺癌或胸腔肿瘤,后经手术确诊。最常见的病理表现是形成隐球菌结节;X线表现是局限性团块,直径在3厘米以上者8例。10例均作手术切除治疗,其中6例随访3个月～4年无复发。 This article reports and reviews the domestic literature a total of 10 cases of primary pulmonary cryptococcosis. In addition to a positive diagnosis based on sputum bacteria, 9 cases were misdiagnosed as lung cancer or thoracic tumor preoperatively and confirmed by surgery. The most common pathological manifestations are the formation of cryptococcal nodules; X-ray performance is limited mass, diameter of 3 cm or more in 8 cases. All 10 cases were treated by surgical resection, of which 6 cases were followed up for 3 months to 4 years without recurrence.