Ewig S, Steudel A, Bierhoff E, Niese D
Medizinische Klinik, Universität Bonn.
Med Klin (Munich). 1991 Jun 15;86(6):284-9.
Diagnosis of pulmonary Kaposi's sarcoma can be difficult. Clinical findings and chest X-rays are non-specific and endobronchial diagnostic in about 50% of cases. Additional concomitant infectious complications are frequent. Symptomatic pulmonary Kaposi's sarcoma most oftenly is progressive and has a poor prognosis. Preliminary data suggest effective palliation with radio- and chemotherapy and an improved survival time in selected cases. We present six cases of proven pulmonary Kaposi's sarcoma and discuss clinical course and diagnostic difficulties. Based on this view we propose a diagnostic approach to warrant therapeutic success.
肺卡波西肉瘤的诊断可能具有挑战性。临床症状和胸部X光表现不具特异性，约50%的病例需通过支气管内诊断。常伴有其他感染性并发症。有症状的肺卡波西肉瘤通常呈进行性发展，预后较差。初步数据表明，放疗和化疗可有效缓解症状，部分病例的生存时间得以延长。我们报告6例确诊的肺卡波西肉瘤病例，并讨论其临床病程和诊断难点。基于此，我们提出一种诊断方法以确保治疗成功。
