原发性气管癌X线诊断及鉴别诊断(附6例报告)

本文报告了我院1971～1983年经临床、X线及病理检查证实的原发性气管癌6例。年龄最小的6岁,最大的73岁,存活时间最长的为8年。临床主要表现为进行性阵发性吸气性呼吸困难。X线诊断平片较为困难,主要依靠高电压胸部正侧位摄片及气管断层和气管食管造影。根据肿瘤X线不同表现,我们分原发性气管癌为三型:蕈伞型、环窄型和浸润型。并对本病的鉴别诊断进行了讨论。

X-ray diagnosis and differential diagnosis for primary carcinoma of the trachea (a report of 6 cases)

It is reported that 6 cases of primary carcinoma of the trachea were examined and diagnosed clinically, and confirmed by X-ray and pathological examinations in our hospital during the period from 1971 to 1983. Of the 6 cases,the youngest was 6 years old and the oldest 73, and the longest survival of all cases was 8 years. The main clinical manifestions were presented as progressive,paroxysmal inspiratory dyspneas The diagnosis Of the lesion only by plainX-ray film was so difficult that it should primarily depend on posteroanterior and lateral chest roentgenogram with a high-voltage-technique,tracheal tomography, tracheography and esophagography. According to the different roentgenologic features, we classified the primary tracheal carcinomas into three types:fungating,circular stricture and infiltrating type. The differential diagnosis of this disease was discussed.