Lung disease misdiagnosed as lung cancer diagnosis and treatment of 46 surgical.docVIP

 PAGE \* MERGEFORMAT 5 Lung disease misdiagnosed as lung cancer diagnosis and treatment of 46 surgical [Abstract] Objective To study the lung disease is not misdiagnosed as lung cancer causes lung cancer. Methods randomly selected from May 1995 to October 2009 surgical cases of lung cancer diagnosed 371 cases, of which 46 cases were misdiagnosed as a pulmonary mass cause of lung cancer. Results of disease misdiagnosed as lung cancer more, can be benign, it can be malignant. Conclusions doctors subjective reasons, by their over-reliance on imaging and other laboratory examinations did not fully comprehensive analysis of clinical data is not enough . [Keywords:] lung cancer; Misdiagnosis Most of the literature on lung cancer misdiagnosed as other diseases have more reports, and other diseases related to lung misdiagnosed as lung cancer is less reported. We May 1995 to October 2009 46 cases of lung disease were misdiagnosed as lung cancer The surgical treatment. This article analyzes the reasons for its misdiagnosis and treatment measures proposed to reduce the misdiagnosis and mistreatment. 1 Clinical data 1.1 General Information The group of 46 patients, 29 males and 17 females, aged from 31 to 67 years old. Cough in 39 cases, 17 cases of chest pain, chest tightness in 27 cases, 5 cases of hemoptysis, fever in 6 cases, 1 case of clubbing, physical examination found 4 cases. 1.2 The chest plain film and CT examination lesion 1.5 ~ 5.7 cm, 31 patients diagnosed with lung cancer, 15 cases of mass properties of unknown origin. Sputum examination, 26 cases of inflammatory cells found in 4 cases, tuberculin test 0 cases, 11 cases fiber Support microscopic examination found no abnormalities, percutaneous lung biopsy in 5 cases, with pathologic findings consistent. 1.3 TB pathological examination in 14 cases, 12 of inflammatory pseudotumor, lung abscess and infection in 7 cases, three cases of hamartoma, bronchial glands in 7 cases, one case of onco