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目的:探讨肺癌合并肺结核的病因特点。方法:回顾性分析76例肺癌同时或序贯合并肺结核患者的临床资料。结果:中心型和周围型肺癌分别占42.1%(32例)和43.4%(33例),28例(36.8%)伴有胸腔积液;肺结核以浸润型为主,占64.5%(49例);肺癌以鳞癌和腺癌为主,Ⅲ期肺癌占48例(55.3%),Ⅳ期18例(23.7%)。结论:肺癌合并肺结核以中年男性为主,肺癌病理类型、临床分期和肺结核的类型无特异性。
Objective: To investigate the etiological characteristics of lung cancer with pulmonary tuberculosis. Methods: A retrospective analysis of 76 cases of lung cancer patients with concurrent or sequential pulmonary tuberculosis clinical data. Results: The central and peripheral lung cancer accounted for 42.1% (32 cases) and 43.4% (33 cases), 28 cases (36.8%) were associated with pleural effusion. The infiltration type was predominant in tuberculosis, accounting for 64.5% (49 cases) ; Lung cancer mainly squamous cell carcinoma and adenocarcinoma, stage Ⅲ lung cancer accounted for 48 cases (55.3%), stage Ⅳ 18 cases (23.7%). Conclusion: Lung cancer with tuberculosis is dominated by middle-aged males. The pathological type, clinical stage and the type of pulmonary tuberculosis are not specific.