Le Guillou F, Hubscher Ph, Cuvelier A, Quieffin J, Guyonnaud C-D, El Haite A, Quieffin F
Département de pneumologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, Le Havre, France.
Rev Mal Respir. 2002 Sep;19(4):515-7.
The authors report the case of a 20 year old Senegalese woman in whom pulmonary and bone tuberculosis presented as bilateral, lobulated pleural thickening without effusion, associated with a vertebral abscess at D 9-10. The diagnosis was obtained by histological examination of a CT guided pleural biopsy. After 12 months treatment there was complete resolution of the pleural disease. Tuberculous pleural disease is rarely bilateral and such presentation as a pseudo-tumour is very rare in Europe. Anatomically the pleural disease would seem to have been secondary to the vertebral disease as the result of direct spread.
作者报告了一例20岁塞内加尔女性病例，该患者的肺结核和骨结核表现为双侧分叶状胸膜增厚且无胸腔积液，同时伴有第9 - 10胸椎椎体脓肿。通过CT引导下胸膜活检的组织学检查得以确诊。经过12个月的治疗，胸膜疾病完全消退。结核性胸膜疾病很少双侧发病，而这种表现为假瘤的情况在欧洲非常罕见。从解剖学角度来看，胸膜疾病似乎是椎体疾病直接蔓延所致的继发性病变。
