CAJ | 학술논문

目的总结艾滋病患者合并肺癌的临床、CT表现,提高其诊断准确率.方法回顾性分析7例经病理证实的艾滋病患者合并肺癌的临床及CT表现.结果本组7例,平均43.3岁,男5例,女2例.咳嗽、咳痰5例,气短3例、发热3例和胸痛2例.吸烟史6例.发病部位:右肺4例、左肺3例.周围型4例、中央型3例.合并肺孢子菌肺炎2例,细菌性肺炎1例.腺癌2例,鳞癌4例,小细胞癌1例.结论 HIV阳性肺癌患者无特异性症状、体征,很难与AIDS相关的机会性感染与机会性肿瘤相鉴别,易误诊,而CT扫描是艾滋病患者合并肺癌的重要检查方法.
목적총결애자병환자합병폐암적림상、CT표현,제고기진단준학솔.방법회고성분석7례경병리증실적애자병환자합병폐암적림상급CT표현.결과본조7례,평균43.3세,남5례,녀2례.해수、해담5례,기단3례、발열3례화흉통2례.흡연사6례.발병부위:우폐4례、좌폐3례.주위형4례、중앙형3례.합병폐포자균폐염2례,세균성폐염1례.선암2례,린암4례,소세포암1례.결론 HIV양성폐암환자무특이성증상、체정,흔난여AIDS상관적궤회성감염여궤회성종류상감별,역오진,이CT소묘시애자병환자합병폐암적중요검사방법.
Objective To summarize the AIDS patients with lung cancer in clinical, CT performance and improve its diagnostic accuracy. Methods We retrospectively analyzed seven cases of AIDS patients with lung cancer and CT findings of pathologically confirmed. Results Of the seven cases, with an average 43.3 years old, 5 males and 2 females. Cough, sputum five cases, three cases of shortness of breath, three cases of fever and chest pain for two cases. Smoking history of six cases. Disease areas:the right lung four cases, the left lung in three cases. Peripheral four cases, three cases of central type. Merge the two cases of Pneumocystis pneumonia, and one cases of bacterial pneumonia. Two cases of adenocarcinoma, 4 cases of squamous cell carcinoma, and one cases of small cell carcinoma. Conclusion HIV-positive patients with lung cancer, non-specific symptoms, signs, it is difficult to AIDS-related opportunistic infections and opportunistic tumors differentiated, often misdiagnosed, and the CT scan is an important examination of AIDS patients with lung cancer.