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[下叶肺结核与肺恶性肿瘤的鉴别诊断]

[Differential diagnosis of inferior lobe tuberculosis and malignant lung tumors].

作者信息

Tress A S

出版信息

Vopr Onkol. 1980;26(1):24-8.

PMID:7355592
Abstract

The author reports the observations over 190 patients referred to the Tuberculosis Institute for the present or suspected pulmonary tuberculosis of the lower lobe localization. In 47 (24.7%) of the patients the diagnosis of tuberculosis was rejected and lung cancer was diagnosed, central--in 5 of them, peripheral--in 42. Clinical manifestations in patients with tuberculosis and cancer were similar, weakness, cough, poor appetite being predominent; however, in cancer patients these were more frequently observed and more manifest with a tendency to aggravation and showing no response to tuberculostatic drugs. In 26.6% of patients with pulmonary tuberculosis and in 21.3% of lung cancer patients clinical manifestations of the disease were either entirely absent or insignificantly pronounced.

摘要

作者报告了对190例因目前患有或疑似患有下叶肺结核而转诊至结核病研究所的患者的观察情况。其中47例(24.7%)患者的结核病诊断被排除,确诊为肺癌,其中5例为中央型,42例为周围型。结核病和癌症患者的临床表现相似,主要为虚弱、咳嗽、食欲不振;然而,癌症患者中这些症状更常出现且更明显,有加重趋势且对抗结核药物无反应。在26.6%的肺结核患者和21.3%的肺癌患者中,疾病的临床表现要么完全没有,要么不明显。

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