Krychniak-Soszka A, Wedzicha S, Kuś J, Pawlicka L
I Kliniki Gruźlicy i Chorób Płuc, Instytutu Gruźlicy i Chorób Płuc, Warszawie.
Pneumonol Alergol Pol. 2000;68(11-12):566-74.
Sarcoidosis is a multisystem disorder of unknown cause frequently presenting with hilar lymphadenopathy, pulmonary infiltration, ocular and skin lesions. Multiple circular or oval pulmonary dentisties appear in the less than 5% of patients. We describe 4 sarcoidosis cases with multiple or single tumor lesion. These patients were referred to our department with initial diagnosis of metastatic or primary lung malignancy. Two of them presented the picture of multiple tumors and two had single peripheral lung mass with hilar lymphadenopathy. This report shows difficulties in the diagnosis of the interstitial lung diseases when the radiological pattern mimics malignancy.
结节病是一种病因不明的多系统疾病，常表现为肺门淋巴结肿大、肺部浸润、眼部及皮肤病变。不到5%的患者会出现多发圆形或椭圆形肺部结节。我们描述了4例有多发或单发肿瘤样病变的结节病病例。这些患者最初被诊断为转移性或原发性肺恶性肿瘤而转诊至我科。其中2例表现为多发肿瘤影像，2例有单个外周肺肿块伴肺门淋巴结肿大。本报告显示，当影像学表现类似恶性肿瘤时，间质性肺疾病的诊断存在困难。
