【摘要】 目的探讨肺结核并多发原发性肺癌的临床特征。方法对我院收治的肺结核并多发原发性肺癌1例的临床资料进行回顾性分析。结果本例因咳嗽10余天,咯血1周就诊。入院后完善医技检查,初步考虑肺结核并左侧肺癌,行手术切除,结合病理检查结果确诊为肺结核并左上肺鳞癌,术后予抗结核治疗。术后9个月发现右侧腋下肿块,行肿块切除术后病理检查及胸部CT扫描,确诊为右上肺腺癌伴肋骨及右腋下转移、肺结核并左上肺鳞癌,予化疗后右上肺腺癌病灶较前缩小出院。后失访。结论肺结核并多发原发性肺癌临床少见,尽早确诊并治疗可有效改善预后。更多还原

【Abstract】 Objective To discuss the clinical characteristics of pulmonary tuberculosis( PTB) and multiple primary lung cancer( MPLC). Methods The clinical data of one case of PTB and MPLC treated in our hospital were retrospectively analyzed. Results This patient was hospitalized due to cough for more than ten days and hemoptysis for one week. The patient was diagnosed with PTB and left upper lung squamous cell carcinoma( SCC) after medical examinations were completed. After surgical resection,the diagnosis of PTB and left upper lung SCC was confirmed by pathological examination,and anti-tuberculosis treatment were performed. Nine months after operation,the right subaxillary mass was detected and then resected. Combined with the pathological result and chest CT,the patient was diagnosed with right upper lung adenocarcinoma with rib metastases,right subaxillary metastases,PTB,and left upper lung SCC. By chemotherapy,the lesion of the right upper lung adenocarcinoma was smaller. The patient was discharged but lost to follow-up. Conclusion PTB complicated by MPLC are rare,and early diagnosis and treatment can effectively improve the prognosis.更多还原