不典型肺Ca的X线误诊分析(附7例报告)

The X-Ray Misdiagnosis Analysis of Atypical Lung Ca

摘要: 目的：通过7例不典型肺癌的X线征象分析与误诊教训，进一步提高不典型肺癌的X线诊断与鉴别诊断水平。方法：对我院2007~2012年间X线胸片首诊误诊的7例不典型肺Ca病例进行回顾性分析，逐例探讨其X线表现特征，综合分析寻找误诊原因。结果：误诊为肺炎或肺炎伴肺不张2例，肺炎性假瘤1例，肺结核2例，胸膜少量积液1例，纵隔旁淋巴结肿大1例。结论：不典型肺Ca的X线表现形式多种多样，必须综合分析，注重随访观察，方可减少误漏诊，提高不典型肺Ca诊断准确率。

Abstract: Purpose: This article demonstrates how to develop the atypical lung cancer of X-ray diagnosis and identification diagnosis level by seven cases of atypical lung cancer of X-ray signs analysis and misdiagnosis lessons. Method: We conducted a retrospective analysis of the seven cases of atypical lung Ca which were first misdiagnosed between 2007 and 2012 in our hospital, investigated the performance characteristics of the X-ray case by case and analyzed the causes of misdiagnosis comprehensively. Results: 2 cases were misdiagnosed as pneumonia or pneumonia with atelectasis, 1 case of pulmonary inflammatory pseudotumor, 2 cases of pulmonary tuberculosis, 1 case of fewer pleural effusion and 1 case of lymphadenopathy next to mediastinal. Conclusion: Atypical lung Ca X-ray expresses in various forms, and we must analyze these forms comprehensively and focus on follow-up observation. Only in this way can we decrease the rate of misdiagnosis and improve the diagnostic accuracy of atypical lung Ca.