30 cases of pulmonary tuberculosis with lung cancer X-ray analysis.docVIP

 PAGE \* MERGEFORMAT 9 30 cases of pulmonary tuberculosis with lung cancer X-ray analysis Keywords: X-ray diagnosis of tuberculosis CT diagnosis of lung cancer At present, the incidence of pulmonary tuberculosis co-existence of lung cancer on the rise, due to the two X-ray findings and clinical characteristics of similarities, especially in the lungs of the two lesions shadow overlapping or adjacent to, an increase of X-ray image diagnosis difficult, easily misdiagnosed or missed diagnosis occurs. This paper selected from 2000 to 2005 hospital admissions by histology, bacteriology confirmed 30 cases of pulmonary tuberculosis with lung X ray data were analyzed retrospectively. A clinical data 1.1 General Information 20 males and 10 females; aged 45 to 82 years old, 21 cases in which more than 60 years of age; a smoking history of 22 cases; tuberculosis course for 6 months to 10 years in 8 cases, more than 10 years 22 cases; sputum 25 cases of smear-negative TB, TB-positive in 5 cases; stable phase of pulmonary tuberculosis with lung cancer, 21 cases; active pulmonary tuberculosis with lung cancer in 9 cases, including cavitary pulmonary tuberculosis complicated by lung cancer in 4 cases. 1.2 Clinical features of 21 cases cough, of which nine cases of bloody sputum; 12 cases of chest pain; hoarseness in 5 cases; fatigue and night sweats, 9; supraclavicular lymph nodes in 3 cases. 30 cases were pure anti-TB treatment, 5 cases of some of the symptoms can be eased, but the weight loss, increased cough; 25 cases of all the symptoms gradually worsened. 1.3 X-ray examination were 30 cases of multiple chest CT scans are lateral photographs and the photographs, of which 17 patients carried out four times CT scan. 2 Results 2.1 for the first time X-ray diagnosis of pulmonary tuberculosis with lung cancer, 12 cases; made possible the coexistence of the two, 10 cases; alone in 5 cases diagnosed as tuberculosis, l