Misdiagnosis of 18 cases of lung cancer.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosis of 18 cases of lung cancer Of: Zhi-Qiang Qin Qin Zhihong and Modem [Keywords:] lung cancer, misdiagnosis Most patients with lung cancer are diagnosed late when, early easily with tuberculosis, lung infection, confused. Based on the 18 cases of misdiagnosis of early lung cancer cases, hoping to reduce the misdiagnosis rate of early lung cancer. 1 Clinical data 1.1 General Information The group of 18 patients, 12 males and 6 females, aged 29 to 77 years, mean 51 years old. With smoking history in 11 cases. Clinical symptoms: cough, sputum in 17 cases, 6 cases of chest pain, sound 2 cases of hoarseness, dysphagia in 3 cases, pleural effusion in 2 cases, fever in 1 case. 1.2 The diagnostic method of the group were diagnosed by pathological examination found cancer cells of lung cancer diagnosed sputum .4 cases, 10 cases diagnosed by bronchoscopy, 2 cases of pleural effusion found in cancer diagnosis, 2 cases were pathologically confirmed. 1.3 misdiagnosis in this group were confirmed by chest X ray or CT examination .8 misdiagnosed as miliary tuberculosis, 4 cases were misdiagnosed as pneumonia, 3 cases were misdiagnosed as tuberculous pleurisy, 3 cases were misdiagnosed as bronchial lymph node core. The definite diagnosis was given TB or regular anti-inflammatory treatment. 2 Discussion 2.1 The lack of specific clinical manifestations of early lung cancer cough, sputum, chest pain, bloody sputum easily overlooked and considered common disease, resulting in misdiagnosis, particularly in easily misdiagnosed as tuberculosis. Differences between the two: cough, sputum. Early lung cancer is irritating cough, a small amount of mucus or sputum, and only secondary infection, sputum increased, cough and tuberculosis, as the wet, when the hole after the formation of caseous necrosis often coughed up material, through the pathology and sputum acid-fast sputum examination can be improve the differential diagnosis