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自1990年以来,共发现肺上叶前段肿块22例,其中肺癌21例,球形肺炎1例,为了解肺上叶前段肿块恶性与良性的高比率关系,现总结如下: 1 临床资料 1.1 一般资料:本组22例,男15例,女7例,年龄30～69岁,平均年龄58岁。右肺上叶前段14例,左肺上叶前段8例。主要症状:咳嗽咯痰17例,咯血或痰中带血12例,胸痛10例,闷气4例,发热2例,血白细胞升高2例,血沉高2例。7例做足量广谱抗生素治疗一周后,6例肿块未见明显变化。1例明显吸收,后继续治疗阴影消失,随访未复发。21例均手术病理证实:肺泡癌2例,腺癌10例,鳞癌9例,有4
Since 1990, a total of 22 cases of anterior segment of the upper lobe have been found, including 21 cases of lung cancer and 1 case of globular pneumonia. To understand the relationship between malignant and benign masses in the anterior segment of the upper lobe, the following are summarized: 1 Clinical data 1.1 General information : This group of 22 patients, 15 males and 7 females, aged 30 to 69 years, mean age 58 years. There were 14 cases in the upper segment of the right lung and 8 cases in the upper segment of the left lung. The main symptoms were cough and expectoration in 17 cases, blood in hemoptysis or sputum in 12 cases, chest pain in 10 cases, stagnation in 4 cases, fever in 2 cases, elevated blood leukocyte in 2 cases, and elevated blood sedimentation in 2 cases. After 7 weeks of taking a sufficient amount of broad-spectrum antibiotics, no significant changes were found in the 6 cases. One case was significantly absorbed, and the shadow of treatment continued to disappear. No recurrence was observed during follow-up. 21 cases were confirmed by pathology: 2 cases of alveolar carcinoma, 10 cases of adenocarcinoma, 9 cases of squamous cell carcinoma, 4 cases