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近年来,肺结核伴肺癌的报告较多,但结核与肺癌的关系尚未明了。笔者查阅了我院自1990年～1996年4月住院的肺结核伴肺癌患者24例作如下临床分析。 1 临床资料 1.1 一般资料 24例中男性21例,女性3例。年龄40岁以下1例,41岁～50岁5例,51岁～60岁8例,60以上10例。 1.2 临床表现痰中带血或咯血12例、咳嗽24例,伴咳痰20例,胸痛8例,气促7例,发热,盗汗12例。 1.3 病变部位两上肺结核18例,右上肺结核4例,左上肺结核1例。右侧肺癌14例,左侧肺癌10例。结核与肺癌部位并存22例。增大的病灶均与原肺结核病灶关系密切。 1.4 病理类型鳞癌8例;腺癌8例,未分化癌5例,未定型3例。
In recent years, there are more reports of tuberculosis and lung cancer, but the relationship between tuberculosis and lung cancer is not yet clear. The author consulted the hospital from 1990 to 1996 April hospitalized tuberculosis patients with lung cancer in 24 cases for the following clinical analysis. 1 Clinical data 1.1 General Information 24 cases, 21 males and 3 females. One patient under 40 years of age, 5 patients 41 to 50 years old, 8 patients 51 to 60 years old, 60 patients in 10 cases. 1.2 Clinical manifestations sputum bloody or hemoptysis in 12 cases, 24 cases of cough, with sputum in 20 cases, 8 cases of chest pain, shortness of breath in 7 cases, fever, night sweats in 12 cases. 1.3 lesions in two cases of tuberculosis in 18 cases, 4 cases of upper right pulmonary tuberculosis, 1 case of upper left pulmonary tuberculosis. Right lung cancer in 14 cases, 10 cases of left lung cancer. Tuberculosis and lung cancer coexist in 22 cases. Increased lesions are closely related with the original tuberculosis. 1.4 pathological type of squamous cell carcinoma in 8 cases; adenocarcinoma in 8 cases, undifferentiated carcinoma in 5 cases, 3 cases of undetermined.