1.Tuberculosis
① Tubercle ball easily with surroundings type the lung cancer confuse.The tubercle ball is seen to youth more, the general course of illness is longer and develop slowness.The pathological changes is often located on up leaf of segment or bottom carry segment on leaf of segment or bottom's back after the apex of leaf.X line slice last shadow density asymmetry, it is thus clear that arrive sparse deeply and only area and calcify order and often have already spread in sex tubercle cooking stove inside the lung.
The ② Su grain tuberculosis easily steeps a cancer with filled the air thin bronchus lung to confuse.The Su grain tubercle is more familiar than youth, whole body toxicity the symptom is obvious, the anti- tubercle medicine cures ameliorable symptom, and the focus absorbs gradually.
The ③ lung lymphoid tubercle in the door the possible misdiagnosis is a type lung cancer in center on the X line slice.Lymphoid knot tubercle in the lung door is seen to green childhood more, often have the tubercle infection the symptom, hardly spit blood.Should notice, the lung cancer can merge with tuberculosis to exist.Should combine clinical symptom, the X line slice, phlegm cytology and bronchus mirror check and definitely diagnosed in early days, in order to prevent delay treatment.
2.The lung department blazes a disease
① Bronchus pneumonia:The lung cancer caused in early days of jamed sex pneumonia easily drive misdiagnosis is bronchus pneumonia.Bronchus pneumonia is taken bad more nasty, be infected the symptom is more heavy, the whole body be infected symptom obvious.The X line slice last performance is the slice-like in shape or spot-like in shape shadow of boundary faintness, density asymmetry, and don't limit at a lung segment or lobe of lung.Be infected through the anti- the symptom quickly disappear after the treatment, the lung department pathological changes absorbs also quicker.
② Lung abscess:The X line slice for the lung cancer midsection bad dead liquefaction to forms empty last performance is easy to confuse with lung abscess.The lung abscess expects to obviously be infected symptom in the acute, the amount of phlegm is more and present Nong, X line slice sky hole the wall is thinner, inside wall smooth, often have liquid flat surface, the lung organization of abscess surroundings often has gradually, the chest film has burning to change.
3.The lung department other tumors
The ① lung department benign tumor:Such as wrong reach lump, fiber lump, and cartilage lump...etc. to sometimes need with surroundings type the lung cancer discriminate.The general lung department benign tumor course of illness is longer, the growth is slow-moving, clinical mostly have no symptom.Presents to copy for the type form piece in the park on the X line slice, the density is even, can have calcify to order.Outline tidy, much have no cent leaf.
The ② bronchus gland lump:BE a kind of low degree the tumor of the ill nature.Being taken bad age is younger than lung cancer, the female much sees.Clinical performance similar to lung cancer, have stimulative a cough and again and again spit blood, the X line performance can have already jamed sex pneumonia or have the limiting of segment or leaf sex lung the piece break 1 F film not it is thus clear that take care of the soft organization inside the chamber copy, the fiber bronchus mirror can discover the surface smooth tumor.
4.The Zong separates lymphoid tumor
Can confuse with type lung cancer in center.The Zong separates lymphoid tumor to grow quickly, clinical often have have fever and other parts of the watch shallow lymph knot swollen big, X line slice last performance is two side windpipe side and lymphoid knot in the lung door copy aggrandizement.See the piece shadow narrowing towards projecting treatment sensitive, small amount of projecting light upon empress canning immediately.
The lung cancer discriminates diagnosis
3.13.2009
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