摘要
背景与目的肺淋巴管癌病(PLC)是肺转移癌的一种特殊类型,极易误诊为其他疾病。本研究通过总结PLC的临床特征,拟提高对此病的认识,减少或避免误诊。方法收集整理经尸检证实,但生前均被误诊的7例PLC患者的临床资料,对其临床表现及影像学资料进行回顾性分析,总结本病的特点,为临床诊断提供参考。结果7例PLC患者临床表现均为干咳、气短、呼吸困难,X线胸片表现为双肺纹理增多,有模糊片状影,散在小结节、网状纤维条索影。结论PLC的临床表现无特异性,当恶性肿瘤出现呼吸系症状时,应注意考虑此病,以免误诊。
Background and objective Pulmonary lymphomatosis carcinomatous (PLC) is a special type of pulmonary metastasis of carcinoma. It is easy to be misdiagnosed as other pulmonary diseases. In this study the clinical manifestation of PLC is analyzed to improve the understanding of the clinical manifestations of PLC and to avoid or reduce misdiagnosis. Methods A retrospective analysis was performed on 7 PLC patients with autopsy diagnosis in our hospital, their clinical and radiological characteristics were analyzed and summarized. Results The clinical manifestations of PLC mainly expressed as dry cough and dyspnea. Increased lung markings by x-ray were observed with scattered small reticulonodular and fibrous shadow. None of the 7 cases had been diagnosised as PLC before death. Conclusion PLC should be considered when malignant tumor patients are companied by respiratory symptoms, such as cough and dyspnea.
出处
《中国肺癌杂志》
CAS
2007年第1期54-57,共4页
Chinese Journal of Lung Cancer
关键词
肺淋巴管癌病
肺肿瘤
诊断
Pulmonary lymphomatosis carcinomatous Lung neoplasms Diagnosis