煤工矽肺合并肺癌已有诸多报道,但矽肺合并肺、扁桃体双重癌尚未见报道,且此例诊断曲折,经历两个大医院,首次活检为矽肺,第2次、第3次活检才确诊,避免了一次漏诊、误诊,现报道如下。1临床资料患者,男,62岁,吸烟,1包/天×40年;喝酒,100~150 ml/d×40年;小煤窑挖煤,工龄13年。200 There have been many reports of silicosis and coal lung cancer in coal miners. However, no double silicosis of silicosis and tonsil has been reported yet. In this case, two major hospitals were diagnosed as torticollis. The first biopsy was silicosis, and the second and third biopsy were confirmed. To avoid a missed diagnosis, misdiagnosis, are reported below. 1 Clinical data Patients, male, 62 years old, smoking, 1 pack / day × 40 years; drinking, 100 ~ 150 ml / d × 40 years; coal mining coal mines, 13 years of service. 200