Kim Hyo-Cheol, Goo Jin Mo, Kim Hyun Beom, Lee Joon Woo, Seo Joon Beom, Im Jung-Gi
Department of Radiology, Institute of Radiation Medicine, Seoul National University College of Medicine, Clinical Research Institute, Korea.
Clin Radiol. 2002 May;57(5):408-14. doi: 10.1053/crad.2001.0742.
The purpose of our study was to describe radiological manifestations of tuberculosis in patients with myelodysplastic syndromes.
Chest radiographs and CTs of 12 patients with tuberculosis among 195 consecutive patients with myelodysplastic syndrome, proved by bone marrow biopsy, were reviewed. Six of the 12 patients presented with tuberculosis and were subsequently found to have myelodysplastic syndrome.
Chest radiographs and CTs revealed pulmonary tuberculosis in all 12 patients and extrapulmonary tuberculous involvement in six (50%). Initial chest radiographic findings of pulmonary tuberculosis included a primary pattern (n = 6), a post-primary pattern (n = 3), a miliary pattern (n = 1), atypical infiltrates (n = 1) and normal radiograph (n = 1). Tuberculosis involved extrathoracic lymph nodes (n = 5), liver (n = 2), spleen (n = 2), kidney (n = 2), bowel (n = 2), pericardium (n = 2) peritoneum (n = 1) and rib (n = 1).
Tuberculosis is a relatively common cause of infection in patients with myelodysplastic syndromes. The radiological appearance of pulmonary tuberculosis in myelodysplastic syndromes is often a primary pattern, and there is frequently extrapulmonary involvement.
我们研究的目的是描述骨髓增生异常综合征患者结核病的影像学表现。
回顾了195例经骨髓活检证实的骨髓增生异常综合征连续患者中12例结核病患者的胸部X线片和CT。12例患者中有6例表现为结核病，随后被发现患有骨髓增生异常综合征。
胸部X线片和CT显示所有12例患者均有肺结核，6例（50%）有肺外结核累及。肺结核的初始胸部X线表现包括原发型（n = 6）、原发后型（n = 3）、粟粒型（n = 1）、非典型浸润型（n = 1）和X线片正常型（n = 1）。结核累及胸外淋巴结（n = 5）、肝脏（n = 2）、脾脏（n = 2）、肾脏（n = 2）、肠道（n = 2）、心包（n = 2）、腹膜（n = 1）和肋骨（n = 1）。
结核病是骨髓增生异常综合征患者感染的相对常见原因。骨髓增生异常综合征中肺结核的影像学表现通常为原发型，且常伴有肺外累及。
