差异化非小细胞肺癌呈现为源不明的发烧
Brandon Boyarsky1, Caroline Cox2, Sarah Boutwell2
1Internal Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA brandonboyarsky@gwu.edu.
BMJ case reports
|January 29, 2026
概括
诊断出源不明的发烧 (FUO) 可能具有挑战性. 这一案例揭示了先进非小细胞肺癌的延迟诊断如何导致患者的长期FUO.
科学领域:
- 在瘤学瘤学.
- 内部医学 内部医学
- 诊断医学 诊断医学 诊断医学
背景情况:
- 源不明发烧 (FUO) 是一个诊断挑战,通常需要进行广泛的调查.
- 虽然感染性,自身免疫性和瘤性原因都被考虑在内,但在某些情况下,尽管进行了彻底的评估,但病因仍然难以捉摸.
研究的目的:
- 介绍一例FUO最终被诊断为高级非小细胞肺癌的病例.
- 突出诊断挑战和错过的机会在管理FUO.
主要方法:
- 一个70多岁的女性患有FUO的病例报告.
- 检查诊断步骤,包括历史记录,实验室检测和成像.
- 分析导致诊断延迟的因素.
主要成果:
- 患者的FUO归因于差异化不良,晚期非小细胞肺癌.
- 延迟成像和诊断惯性被认为是诊断过程中错过的机会.
结论:
- 早期和全面的诊断评估对于管理FUO至关重要.
- 意识到潜在的瘤原因,如肺癌,即使在没有典型症状的情况下也是至关重要的.
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