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周围型肺癌的早期X线表现多种多样,诊断较难,现对我院1989年以来的12例周围型小肺癌的胸部平片误诊情况分析如下;本组12例中男性9例,女性3例,年龄28～72岁,平均63岁,全部病例均有正侧位胸片(其中7例作多次复查,5例作CT检查)。10例手术,2例经皮肺活检,均有病理证实。其中腺癌6例,鳞癌5例,未分化癌1例,直经最小1.2厘米,大者2.8厘米,病变部位以右肺为多,分别为下叶4例、上叶2例、中叶1例、左肺5例、上叶3例、下叶2例。周围型肺癌临床症状少且出现较晚,3例因血痰就诊,7例由一般呼吸道症状就诊,其中2例伴间隙性胸痛、发烧、乏力,1例消瘦显著,另2例则是常规体检发现。
The early X-ray findings of peripheral lung cancer are diverse and difficult to diagnose. The analysis of misdiagnosis of the chest radiographs of 12 small peripheral lung cancers since 1989 in our hospital is analyzed as follows; in this group of 12 cases, there are 9 males and 3 females. Cases, ages 28 to 72 years, average 63 years old, all cases have positive lateral chest radiograph (of which 7 cases for multiple review, 5 cases for CT examination). In 10 cases, 2 cases of percutaneous lung biopsy were confirmed by pathology. There were 6 cases of adenocarcinoma, 5 cases of squamous cell carcinoma and 1 case of undifferentiated carcinoma. The longest straight path was 1.2 cm and the largest was 2.8 cm. The lesions were located in the right lung. There were 4 cases in the lower lobe, 2 in the upper lobe, and 1 in the middle lobe. Cases, 5 cases of left lung, 3 cases of upper lobe, 2 cases of lower lobe. Peripheral lung cancer had fewer clinical symptoms and appeared late. Three patients presented with blood stasis. Seven patients presented with general respiratory symptoms. Two patients had intermittent chest pain, fever, and fatigue. One case was wasting, and the other two were routine physical examination findings. .