首页|肺癌与肺结核在疾病发生与发展中相互影响的研究进展

肺癌与肺结核在疾病发生与发展中相互影响的研究进展

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肺癌是我国癌症死亡的主要原因,同时,我国作为结核分枝杆菌(Mycobacterium tuberculosis,MTB)感染的高发国家,拥有大量肺结核合并肺癌的患者群体.MTB感染重塑了宿主免疫系统,为肺癌的发生与发展提供了有利的微环境.目前,针对肺结核或肺癌的单一疗法,在肺结核合并肺癌的患者中效果有限,甚至可能相互干扰.笔者分析了 MTB感染促进肺癌发生与发展的具体机制、肺癌与肺结核单独存在时的临床表现、肺结核合并肺癌患者的诊断过程,并进一步探讨了针对此类患者的综合治疗策略.
Interaction between lung cancer and tuberculosis in disease development and progression
Lung cancer is the primary cause of cancer-related mortality in China,a nation with a notably high prevalence of Mycobacterium tuberculosis(MTB)infection.Consequently,a significant population suffers from concurrent tuberculosis and lung cancer.MTB infection reshapes the host immune system,fostering a microenvironment conducive to the initiation and progression of lung cancer.Current monotherapies targeting either pulmonary tuberculosis or lung cancer exhibit limited effectiveness in managing patients with both conditions and may even lead to mutual interference.This review synthesizes evidence from PubMed and Chinese databases,offering an in-depth analysis of the mechanisms by which MTB infection facilitates lung cancer development and progression.Furthermore,it examines the overlapping clinical manifestations of these diseases,which complicate accurate diagnosis,and discusses potential strategies for integrated treatment.

Mycobacterium tuberculosisCarcinoma,non-small-cell lungImmunityLiterature review

刘瑞花、萨日娜、王芙蓉

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内蒙古自治区第四医院(内蒙古自治区胸科医院、内蒙古自治区公共卫生突发事件医疗救治中心)科研部,呼和浩特 010000

内蒙古自治区第四医院(内蒙古自治区胸科医院、内蒙古自治区公共卫生突发事件医疗救治中心)感染科,呼和浩特 010000

分枝杆菌,结核 癌,非小细胞肺 免疫 综述

2025

中国防痨杂志
中国防痨协会

中国防痨杂志

北大核心
影响因子:2.527
ISSN:1000-6621
年,卷(期):2025.47(1)