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我院1985年1月至1990年4月共收治肺结核1412例,其中肺结核肺癌并存13例,占0.92％。临床资料一、一般资料:男7例,女6例。年龄37～72岁,50岁以上11例。先患肺结核后发现肺癌者9例,肺结核病程3～30年,平均13.3年。4例肺癌与活动性肺结核同时发现。二、肺癌的诊断依据:病理学确诊7例(手术肺活检4例,淋巴结活检3例);细胞学(胸水4例,痰3例)有阳性发现7例。上述有1例重复。组织分型:腺癌6例,鳞癌5例,未分化癌2例。三、主要临床表现:以咳嗽加重里刺激性干咳为首发症状7例,以咯血痰为首发症状2例,以胸痛起病2例。12例表现咳嗽,6例痰中带血,9例
Our hospital from January 1985 to April 1990 were treated a total of 1412 cases of tuberculosis, of which 13 cases of pulmonary tuberculosis coexist, accounting for 0.92%. Clinical data First, the general information: 7 males and 6 females. Age 37 to 72 years old, 50 years of age in 11 cases. In the first case of pulmonary tuberculosis found in 9 cases of lung cancer, tuberculosis course of 3 to 30 years, an average of 13.3 years. Four cases of lung cancer and active tuberculosis were found simultaneously. Second, the diagnosis of lung cancer based on: pathological diagnosis of 7 cases (4 surgical lung biopsy, lymph node biopsy in 3 cases); cytology (pleural effusion in 4 cases, sputum in 3 cases) were found in 7 cases. One case was repeated above. Tissue typing: adenocarcinoma in 6 cases, squamous cell carcinoma in 5 cases, undifferentiated carcinoma in 2 cases. Third, the main clinical manifestations: to cough irritation in the dry cough as the first symptom in 7 cases, hemoptysis sputum as the first symptom in 2 cases, 2 cases of chest pain onset. 12 cases showed cough, 6 cases of sputum bloody, 9 cases