Sinner W N
Rofo. 1983 Aug;139(2):173-82. doi: 10.1055/s-2008-1055866.
In 62 cases (out of 2726 cases with 613 inflammatory lesions of which 303 showed evidence for specific infection) pulmonary tuberculosis coexistent with lung cancer has been diagnosed by radiography and fine needle biopsy. There was a considerable sex predominance of elderly men. In cases with lung cancer superimposed on pulmonary tuberculosis, there is frequently a delay in the diagnosis of the carcinoma, especially with active tuberculosis. A known diagnosis of tuberculosis dominates the clinical findings to such a degree, that signs of a coexisting carcinoma are overlooked, since all symptoms may be explained by the inflammatory process alone. When the diagnosis is finally made it is too late for a curative therapy. Fine needle biopsy may be helpful in clarifying the dual nature of this process earlier, such making higher prospects for curative treatment possible.
在2726例中有613处炎性病变，其中303处有特定感染证据，在这62例中，通过放射成像和细针活检诊断出肺结核与肺癌并存。老年男性在性别上占相当大的优势。在肺结核合并肺癌的病例中，尤其是活动性肺结核时，癌的诊断常常延迟。已知的肺结核诊断在很大程度上主导了临床发现，以至于并存癌的迹象被忽视，因为所有症状可能仅由炎症过程来解释。当最终做出诊断时，进行根治性治疗已为时过晚。细针活检可能有助于更早地明确这一过程的双重性质，从而使根治性治疗有更大的可能性。
