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上部瘤的错误诊断:一个范围审查

Michael Wilkinson¹, Steven Obst², Tanya Palmer²

¹School of Health, Medical, and Applied Sciences, Central Queensland University, Cairns, QLD, Australia.

Journal of thoracic disease

|March 12, 2026

概括

上部瘤 (SSTs) 经常被误诊为肌肉骨问题,延迟治疗. 早期识别关键临床特征至关重要,以区分SST与肩膀和脊椎疾病,改善患者的治疗结果.

科学领域:

在瘤学瘤学.
放射学放射学是一门学科.
类风湿病学类风湿病学

背景情况:

上部瘤 (SSTs) 是一种罕见但具有攻击性的非小细胞肺癌形式.
延迟诊断,通常是由于肌肉骨疾病的错误诊断,会对患者的结果产生负面影响.
准确区分与常见的肌肉骨病理对于及时干预至关重要.

研究的目的:

从现有文献中确定SST的关键临床特征.
为了区分SST与通常被误诊的肌肉骨病理.
了解诊断延迟和错误诊断对患者结果的影响.

主要方法:

按照PRISMA-ScR指南进行了系统的文献搜索.
包括SST患者描述症状和症状的研究.
提取和分析了诊断延迟和误诊的数据.

主要成果:

该审查包括31项研究中的1328名患者;由于误诊,111人经历了诊断延迟.
常见的SST表现包括肩膀疼痛 (60.0%),吸烟史 (27.0%) 和手臂疼痛 (25.6%).
错误诊断的SSTs经常呈现神经病变,肩膀疼痛和胸痛,经常被误认为是椎或肩膀骨关节炎.

结论:

在手臂/肩膀疼痛患者中,针对肩膀和椎脊柱病理的向测试至关重要,以排除SSTs.
需要仔细审查顶端肺部成像,以防止诊断延迟.
区分SST与肌肉骨疾病需要具体的临床评估和适当的成像检查.

关键词:

潘科斯特瘤是一种瘤.上部硫瘤 (SSTs) 是一种上部硫瘤.诊断延迟是因为诊断延迟.差异诊断是一种差异诊断.错误诊断是一个错误的诊断.

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