怀疑肺癌

网友性别：男年龄：0 婚育情况：已婚

2013-10-22 14:05:30 | 浏览：772

我父亲有10多年的支气管炎伴肺气肿，今年9月30日出现咳血，后在医院输了一星期消炎药，咳嗽有所好转，做了CT，肺部有斑片和条索状的阴影，医生怀疑肺癌。后在胸外科再次就诊，所有检查都正常。现咳嗽症状减轻。但是时不时还是有很少很少的血。病人食欲未减，体重未减。精神状况良好。但是CT显示纵隔淋巴增大。我想请问医生，支气管炎会引起纵隔淋巴增大吗？可能会是肺炎假性肿瘤的可能吗？谢谢

就诊情况：已就诊

做了脑腹部增强CT，没有发现异常。做了全身骨扫描没有发现异常，癌胚抗原正常。输了一星期的消炎药。吃了福多司坦和云南白药。

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周玉明医生回复发表于 2013-10-22 16:42:03

气管镜或穿刺取病理，明确诊断。

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周玉明 | 向该医生提问

厦门大学附属第一医院 - 主任医师

郭明医生回复发表于 2013-10-25 08:45:47

从您提供的病史，肺部阴影经抗炎治疗后已经基本吸收，说明还是炎症的可能性大，炎症也可以引起纵膈淋巴结肿大，但是随着炎症的治愈淋巴结也会逐渐缩小。不知两次CT淋巴结有无变化，建议定期复查。如果纵膈淋巴结持续肿大，必要时可以考虑行超声支气管镜穿刺活检。

支持(3)

郭明 | 向该医生提问

厦门大学附属成功医院（174医院） - 主任医师

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