结核与肺部疾病杂志 ›› 2024, Vol. 5 ›› Issue (3): 273-278.doi: 10.19983/j.issn.2096-8493.2024054

• 综述 • 上一篇    

肺癌合并肺结核的诊断和临床治疗现状

杨红杰1,2, 齐菲1, 张红梅1, 吴洪波1, 胡爱民1, 张同梅1()   

  1. 1首都医科大学附属北京胸科医院综合科,北京 101149
    2北京市朝阳区桓兴肿瘤医院内科,北京 100122
  • 收稿日期:2024-03-19 出版日期:2024-06-20 发布日期:2024-06-12
  • 通信作者: 张同梅,Email:Tongmeibj@163.com
  • 基金资助:
    北京市属医院科研院所公益发展改革试点项目(JYY2023-15);北京市属医院科研院所公益发展改革试点项目(JYY2024-14)

Current status of diagnosis and clinical treatment on co-existent pulmonary tuberculosis and lung cancer

Yang Hongjie1,2, Qi Fei1, Zhang Hongmei1, Wu Hongbo1, Hu Aimin1, Zhang Tongmei1()   

  1. 1Department of Complex, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
    2Department of Nephrology, Cancer Hospital of Huanxing, Chaoyang District, Beijing 100122, China
  • Received:2024-03-19 Online:2024-06-20 Published:2024-06-12
  • Contact: Zhang Tongmei, Email:Tongmeibj@163.com
  • Supported by:
    Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes(JYY2023-15);Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes(JYY2024-14)

摘要:

肺癌和肺结核是严重危害全球健康的两大呼吸系统疾病,严重危害着人类健康,造成全球每年各约160万例死亡患者。特别是在发展中国家,两种疾病均存在较高的发病率。已有流行病学研究证据表明,肺结核增加了肺癌的患病风险。 肺结核与肺癌的临床症状极为相似,两病共存及相互影响给疾病的诊治带来困难,也给患者带来巨大负担。笔者对肺癌合并肺结核的发生机制、诊断和治疗相关方面进行综述。

关键词: 结核,肺, 癌,非小细胞肺, 诊断,鉴别

Abstract:

Lung cancer and pulmonary tuberculosis are two major respiratory diseases that seriously endanger human health. Each disease causes about 1.6 million deaths per year worldwide. Particularly in developing countries, there are high incidences of both diseases. Epidemiological evidence suggests that pulmonary tuberculosis increases the risk of lung cancer. The clinical symptoms of pulmonary tuberculosis and lung cancer are too similar, the co-existence and mutual influence of the two diseases make it difficult to diagnose and treat them, which brings a huge burden to patients. This paper reviews the pathogenesis, diagnosis and treatment of lung cancer complicated with pulmonary tuberculosis.

Key words: Tuberculosis,pulmonary, Carcinoma,non-small-cell lung, Diagnosis,differentia

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