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局灶性肺结核与周围型肺癌的X线鉴别诊断

[X-ray differential diagnosis of focal tuberculosis and peripheral lung cancer].

作者信息

Mamiliaev R M

出版信息

Probl Tuberk. 1998(6):52-3.

Abstract

The paper deals with the differential diagnosis of focal tuberculosis and peripheral lung cancer. It presents data on 25 patients of whom 24 were misdiagnosed as having focal tuberculosis. The main reason for misdiagnoses was the similarity of early X-ray symptoms of the two diseases, namely, upper lobar site, increased and thickened lung pattern and focal shadows against this background. The most important differentially diagnostic criteria for the above diseases are varying optic densities of pulmonary structures at the site of involvement and different patterns of vascular changes in the lung portion with a pathological process.

摘要

本文探讨局灶性肺结核与周围型肺癌的鉴别诊断。文中给出了25例患者的数据,其中24例被误诊为局灶性肺结核。误诊的主要原因是这两种疾病早期X线症状相似,即在肺上叶部位、在此背景下肺纹理增粗和局灶性阴影。上述疾病最重要的鉴别诊断标准是病变部位肺结构的不同密度以及病变肺部血管改变的不同模式。

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