论文部分内容阅读
目的:探讨Pancoast瘤误诊原因及预防措施。方法:对误诊的15例Pancoast瘤临床资料进行回顾性分析。结果:Pancoast瘤临床表现复杂多样,临床上被误诊为肩周炎、颈椎病、肺结核、肺炎、支气管扩张合并感染、冠心病、心绞痛、结核性胸膜炎、急性非特异性心包炎等疾病。结论:对主诉一侧颈肩背痛、X线摄片有胸膜增厚表现的患者,应常规行胸部CT或MRT检查,以免误诊。
Objective: To investigate the causes and preventive measures of misdiagnosis of Pancoast tumors. Methods: The clinical data of 15 patients with misdiagnosed Pancoast tumors were analyzed retrospectively. Results: The clinical manifestations of Pancoast’s tumor were complex and varied, and clinically misdiagnosed as frozen shoulder, cervical spondylosis, pulmonary tuberculosis, pneumonia, bronchiectasis combined infection, coronary heart disease, angina pectoris, tuberculous pleurisy, acute non-specific pericarditis and other diseases. Conclusion: Patients with neck and shoulder back pain on one side and pleural thickening on X-ray should routinely be examined by chest CT or MRT to avoid misdiagnosis.