HAMEL N C, BRIGGS J N, LUDINGTON L G
Calif Med. 1959 Sep;91(3):131-3.
Of all tuberculous patients over 45 years of age admitted to Olive View Sanatorium in the five-year period ended July, 1958, 1.4 per cent had cancer of the lung. This is a much higher incidence than in a comparable segment of the general population. Careful examination of serial roentgenographic studies in all cases of suspected pulmonary lesions was found to increase diagnostic acuity. Scalene node biopsy, cytologic study and bronchoscopy were of less help. Diagnostic thoracotomy was the single most useful procedure for diagnosis. As to operability, the results in patients with both cancer and tuberculosis compared very well with those in patients who had only cancer. Patients who have inactive pulmonary tuberculosis and cancer have much poorer results than patients with active tuberculosis and cancer. There are difficulties in accurately diagnosing cancer in the presence of tuberculosis; and there are special problems in patients with inactive tuberculosis and cancer.
在截至1958年7月的五年期间，入住奥利夫维尤疗养院的所有45岁以上结核病患者中，1.4%患有肺癌。这一发病率远高于普通人群中相应部分的发病率。对所有疑似肺部病变病例的系列X线研究进行仔细检查，发现可提高诊断敏锐度。斜角肌淋巴结活检、细胞学研究和支气管镜检查的帮助较小。诊断性开胸手术是最有用的单一诊断方法。至于可手术性，同时患有癌症和结核病的患者的结果与仅患有癌症的患者的结果相比非常好。患有非活动性肺结核和癌症的患者的结果比患有活动性肺结核和癌症的患者差得多。在结核病存在的情况下准确诊断癌症存在困难；非活动性肺结核和癌症患者存在特殊问题。
