目前,由于肺结核和肺癌在流行病学方面的改变,85％以上的肺结核患者因咳嗽、咳痰、发烧等症状而就诊于综合医院被发现,致二者的鉴别诊断更为棘手。现收集我院近4年来收治的26例酷似肺癌的肺结核作以分析,以助鉴别诊断1、一般资料 26例中手术证实5例,纤维支气管镜刷检及活检证实6例,胸膜活检4例,经皮肺活检3例,淋巴结穿刺和淋巴结活检4例,余4例通过抗痨治疗确诊,其中男18例,女8例,年龄15—17岁,平均年龄42.6岁。2、酷似肺癌的主要症状与体征 Currently, due to the epidemiological changes of tuberculosis and lung cancer, more than 85% of tuberculosis patients were found in general hospitals due to cough, sputum, fever and other symptoms. Therefore, the differential diagnosis between the two is more difficult. Now collected in our hospital in the past 4 years, 26 cases of pulmonary tuberculosis resection of lung cancer for analysis to help differentiate the diagnosis of 1, the general information of 26 cases confirmed by surgery in 5 cases, fibrobronchoscopy and biopsy confirmed in 6 cases, pleural biopsy in 4 cases , 3 cases of percutaneous lung biopsy, 4 cases of lymph node biopsy and lymph node biopsy, the remaining 4 cases were diagnosed by anti-tuberculosis treatment, including 18 males and 8 females, aged 15-17 years with an average age of 42.6 years. 2, resembles the main symptoms and signs of lung cancer