|本期目录/Table of Contents|

[1]徐泽林,许银姬,许俊浩,等.肺炎型肺腺癌5例误诊及文献复习[J].中华肺部疾病杂志,2023,(06):867-870.[doi:10.3877/cma.j.issn.1674-6902.2023.06.028]
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肺炎型肺腺癌5例误诊及文献复习(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年06期
页码:
867-870
栏目:
临床研究
出版日期:
2023-12-20

文章信息/Info

Title:
-
作者:
徐泽林1; 许银姬2; 许俊浩1; 陈新铭1
510405 广州,广州中医药大学第二临床医学院1
510120 广州,广东省中医院2
Author(s):
-
关键词:
肺炎型肺癌;  胸部CT;  早期诊断;  鉴别诊断
Keywords:
-
分类号:
R563,R734.2
DOI:
10.3877/cma.j.issn.1674-6902.2023.06.028
摘要:
目的 分析5例肺炎型肺癌误诊病例,对肺炎型肺癌早期诊断与鉴别诊断具有意义。方法 选择2019年1月至2022年5月我院呼吸内科初诊为肺炎的肺癌患者5例,回顾临床信息和诊疗经过,结合文献复习,5例确诊为肺癌。结果 5例患者中,白细胞计数和中性粒细胞升高1例; C-反应蛋白升高2例; 痰培养阳性2例; 糖类抗原15-3(carbohydrate antigen 15-3, CA15-3)升高2例,糖类抗原19-9(carbohydrate antigen 19-9, CA19-9)升高1例,神经元特异性烯醇化酶(neuron-specific enolase, NSE)升高2例,细胞角蛋白19片段(cytokeratin-19-fragment, CYFRA21-1)升高4例,癌胚抗原(carcinoembryonic antigen, CEA)升高1例、胃泌素释放肽前体(gastrin-releasing peptide precursor, ProGRP)升高2例、鳞状上皮细胞癌抗原(squamous cell carcinoma antigen, SCCA)升高1例。肺部弥漫阴影5例,双肺多发团片、斑片影3例,右肺团片影并多发空洞1例,左肺实变影1例; 考虑肺炎3例,未除外肿瘤性疾病2例; 沿气管分布多发小结节3例,“枯枝征”3例,“空泡征”2例,强化血管影1例。 结论 提高对肺炎型肺癌的认识,完善组织病理学检查,早诊早治,可防止肺炎型肺癌误诊和漏诊。
Abstract:
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备注/Memo

备注/Memo:
基金项目: 广州中医药大学 “双一流”与高水平大学学科协同创新团队重点项目(2021xk27)
通信作者: 许银姬, Email: xuyinji@163.com
更新日期/Last Update: 2023-12-20