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肺结核并多发原发性肺癌病例报告

管淑红 周军 张秋娣 张明 张素娟

临床误诊误治2018,Vol.31Issue(6):4-6,3.
临床误诊误治2018,Vol.31Issue(6):4-6,3.DOI:10.3969/j.issn.1002-3429.2018.06.002

肺结核并多发原发性肺癌病例报告

Case Report of Pulmonary Tuberculosis and Multiple Primary Lung Cancer

管淑红 1周军 1张秋娣 1张明 1张素娟1

作者信息

  • 1. 213000 江苏 常州,苏州大学附属第三医院呼吸科
  • 折叠

摘要

Abstract

Objective To discuss the clinical characteristics of pulmonary tuberculosis ( PTB) and multiple primary lung cancer ( MPLC) . Methods The clinical data of one case of PTB and MPLC treated in our hospital were retrospectively analyzed. Results This patient was hospitalized due to cough for more than ten days and he-moptysis for one week. The patient was diagnosed with PTB and left upper lung squamous cell carcinoma ( SCC) af-ter medical examinations were completed. After surgical resection, the diagnosis of PTB and left upper lung SCC was confirmed by pathological examination, and anti-tuberculosis treatment were performed. Nine months after operation, the right subaxillary mass was detected and then resected. Combined with the pathological result and chest CT, the patient was diagnosed with right upper lung adenocarcinoma with rib metastases, right subaxillary metastases, PTB, and left upper lung SCC. By chemotherapy, the lesion of the right upper lung adenocarcinoma was smaller. The pa-tient was discharged but lost to follow-up. Conclusion PTB complicated by MPLC are rare, and early diagnosis and treatment can effectively improve the prognosis.

关键词

结核,肺/肺肿瘤/漏诊

Key words

Tuberculosis,lung/Lung tumor/Missed diagnosis

分类

医药卫生

引用本文复制引用

管淑红,周军,张秋娣,张明,张素娟..肺结核并多发原发性肺癌病例报告[J].临床误诊误治,2018,31(6):4-6,3.

临床误诊误治

OACSTPCD

1002-3429

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