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[肺结核与支气管源性癌共存的研究:中国和四国地区问卷调查结果]

[A study of the coexistence of pulmonary tuberculosis and bronchogenic carcinoma: results of a questionnaire in Chugoku and Shikoku areas].

作者信息

Hara H, Soejima R, Matsushima T

机构信息

Department of Medicine, Kawasaki Medical School, Okayama, Japan.

出版信息

Kekkaku. 1990 Nov;65(11):711-7.

PMID:2277464
Abstract

A study to obtain information on the relation between tuberculosis and carcinoma of the lung was carried out in 24 hospitals in Chugoku and Shikoku areas during the period from January 1979 to December 1988 using a questionnaire. As a result of this survey, 142 cases of coexisting active pulmonary tuberculosis and bronchogenic carcinoma were reported during the period. The incidence of coexisting cases was 2.32% of patients with pulmonary tuberculosis and 2.22% of patients with bronchogenic carcinoma. The foci of tuberculosis and carcinoma were found more often in the same lobe than in different lobes. The proportions of histological types of bronchogenic carcinoma were as follows: squamous cell carcinoma 43.9%, adenocarcinoma 36.0%, small cell carcinoma 16.5% and large cell carcinoma 3.6%. These findings were not significantly different from those in the general population. No significant difference in the proportions of histological types was found by coexisting lobe. some cases indicated that coexisting tuberculosis gave a favorable influence to the prognosis of lung cancer.

摘要

1979年1月至1988年12月期间,在日本中国和四国地区的24家医院进行了一项研究,以获取有关肺结核与肺癌关系的信息,采用问卷调查方式。本次调查结果显示,在此期间共报告了142例活动性肺结核与支气管肺癌并存的病例。并存病例的发生率在肺结核患者中为2.32%,在支气管肺癌患者中为2.22%。肺结核病灶和癌灶在同一肺叶比在不同肺叶更为常见。支气管肺癌的组织学类型比例如下:鳞状细胞癌43.9%,腺癌36.0%,小细胞癌16.5%,大细胞癌3.6%。这些结果与普通人群的结果无显著差异。按并存肺叶分析,组织学类型比例无显著差异。部分病例表明,并存的肺结核对肺癌预后有有利影响。

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