Diagnostic difficulties in patients with pneumonia and central lung cancer

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Abstract

This work presents an analysis of x-ray, clinical, laboratory methods for the study of patients with pneumonia and central lung cancer, in order to study the main causes of diagnostic errors.

It was established that the causes of diagnostic errors of patients with pneumonia and central lung cancer were the insufficient severity of the leading clinical signs of the course of the disease, the lack of an integrated approach in determining the volume and methods of examination, the inadequacy of accounting for the main radiological signs (localization, density, structure of formation, cavity of decay); lack of an algorithm in the stages of the diagnostic process and the late availability of specialized medical care.

About the authors

N. Ya. Lukyanenko

Altai State Medical University

Author for correspondence.
Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0002-8703-1277

MD, PhD, DSc, Professor

Russian Federation, Barnaul

V. A. Lubennikov

Altai regional cancer clinic

Email: nik.lukyanenko.50@mail.ru
Russian Federation, Barnaul

A. F. Lazarev

Altai State Medical University

Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0003-1080-5294
Russian Federation, Barnaul

M. A. Fedoseyev

Altai State Medical University

Email: nik.lukyanenko.50@mail.ru
ORCID iD: 0000-0002-5895-5032
Russian Federation, Barnaul

I. V. Vikhlyanov

Altai regional cancer clinic

Email: nik.lukyanenko.50@mail.ru
Russian Federation, Barnaul

References

  1. Gabuniya R.I., Kolesnikova E.K. Computed tomography in clinical diagnosis. Moscow: Medicine, 1995: 53–131. (In Russian)
  2. Lukyanenko N.Ya., Shoikhet Yа.N., Leonov S.L. The mathematical algorithm for constructing the optimal standard descriptors in the differential diagnosis of diseases of the chest cavity. Clinical Medicine 2012; 90(4): 23–5. (In Russian)
  3. Kharchenko V.P., Kuzmin I.V. Lung cancer. Moscow: Medicine, 1994. 450 p. (In Russian)
  4. Tyurin I.E. Computed tomography of the chest cavity. St. Petersburg: LLC ELBI-SPb, 2003: 168–276 p. (In Russian)
  5. Pozmogov A.I., Ternovoi S.K., Babiy Ya.S., Lepikhin N.M. Tomography of the chest. Kiev: Health: 1992–288. (In Russian)
  6. Lukyanenko N.Ya., Shoikhet Ya.N., Lazarev A.F., Lubennikov V.A. Error chart in the diagnosis of respiratory diseases. Russian Oncological Journal. 2015; 20 (3): 39–42. (In Russian)

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