Song Tie-niu, Zhang Jian-hua, Li Bin, Zhou Hui, Jiang Peng, Yang Jian-bao, Wei Xiao-ping, Zhu Duo-jie, Guo Quan-wei
Department of Thoracic Surgery, Second Hospital of Lanzhou University, Lanzhou, China.
Department of Thoracic Surgery, Second Hospital of Lanzhou University, Lanzhou, China.
Ann Thorac Surg. 2015;99(5):e125-7. doi: 10.1016/j.athoracsur.2015.02.003.
Currently, a biopsy provides the most reliable evidence for diagnosing a disease, and the majority of doctors do not question the diagnosis made by a pathologist. However, an inaccurate diagnosis may lead to serious consequences; for example, a benign tumor may be misdiagnosed as a malignancy, or a malignancy may be deemed to be benign. How to avoid these types of mistakes is a continuing issue of concern to all doctors. Here, we report a case of small cell lung cancer misdiagnosed as an inflammatory myofibroblastic tumor. Fortunately, we performed a mediastinoscopy on the patient and discovered the actual pathologic condition. This case is presented to caution against the possibility of the misdiagnosis of uncommon diseases in clinical practice.
目前，活检是诊断疾病最可靠的证据，大多数医生对病理学家做出的诊断没有异议。然而，不准确的诊断可能会导致严重后果；例如，良性肿瘤可能被误诊为恶性肿瘤，或者恶性肿瘤可能被认为是良性的。如何避免这类错误是所有医生一直关心的问题。在此，我们报告一例小细胞肺癌被误诊为炎性肌纤维母细胞瘤的病例。幸运的是，我们对该患者进行了纵隔镜检查并发现了实际的病理情况。本文报告此病例以警示临床实践中罕见疾病误诊的可能性。
