并发肺结核和原发性癌。
Concurrent pulmonary tuberculosis and primary carcinoma.
作者信息
Berroya R B, Polk J W, Raju P, Bailey A H
出版信息
Thorax. 1971 Jul;26(4):384-7. doi: 10.1136/thx.26.4.384.
The relationship between chronic pulmonary tuberculosis and primary carcinoma is a purely circumstantial or fortuitous coexistence. Over a period of 14 years, 5,532 new cases of pulmonary tuberculosis and 1,218 new cases of primary malignancy of the lungs were admitted to the Missouri State Sanatorium. This report reviews 54 cases of concurrent disease and discusses the attendant difficulties in their diagnosis and treatment. Eighty-three per cent of the cases reviewed were found to be inoperable or non-resectable, indicating the urgent need for early detection. A close surveillance of patients with chronic pulmonary disease, especially those with tuberculosis and histoplasmosis, could improve the outcome of these concurrent lung diseases.
慢性肺结核与原发性肺癌之间的关系纯粹是一种偶然并存或巧合。在14年的时间里，密苏里州疗养院收治了5532例新的肺结核病例和1218例原发性肺癌新病例。本报告回顾了54例并发疾病病例，并讨论了其诊断和治疗中随之而来的困难。所回顾病例中有83%被发现无法手术或不可切除，这表明迫切需要早期检测。对慢性肺病患者，尤其是患有肺结核和组织胞浆菌病的患者进行密切监测，可能会改善这些并发肺部疾病的治疗结果。
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