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通过针吸活检诊断酷似肺癌的结核瘤。

Diagnosis by needle biopsy of tuberculoma that mimics lung cancer.

作者信息

Zaizen Yukihiro, Chujo Masao, Yamaguchi Chise, Ando Yumiko, Tenda Kouji, Yano Tokujiro

机构信息

Department of Respiratory Diseases, Nishibeppu National Hospital, Tsurumi 4548, Beppu, and Department of Oncological Science, Oita University Faculty of Medicine, Oita, 874-0840, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):616-20. doi: 10.1007/s11748-008-0309-9. Epub 2008 Dec 16.

DOI:10.1007/s11748-008-0309-9
PMID:19085059
Abstract

Two patients with subacute symptoms and signs compatible with lung cancer presented with focal opacities on chest radiographs. In both patients, tissue examinations showed typical histological changes associated with pulmonary tuberculosis. Antituberculosis therapy led to clinical and radiological resolution. Tuberculosis should be considered in the differential diagnosis of patients presenting with clinical and radiological features of lung cancer.

摘要

两名出现与肺癌相符的亚急性症状和体征的患者，胸部X光片显示有局灶性混浊。两名患者的组织检查均显示出与肺结核相关的典型组织学变化。抗结核治疗使临床和影像学表现得到缓解。对于出现肺癌临床和影像学特征的患者，鉴别诊断时应考虑肺结核。

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Diagnosis by needle biopsy of tuberculoma that mimics lung cancer.通过针吸活检诊断酷似肺癌的结核瘤。
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Bilateral nodular pulmonary tuberculomas simulating metastatic disease.双侧结节性肺结核瘤酷似转移性疾病。
BMJ Case Rep. 2011 Apr 13;2011:bcr1120103539. doi: 10.1136/bcr.11.2010.3539.

本文引用的文献

1
Extrapulmonary tuberculosis active infection misdiagnosed as cancer: Mycobacterium tuberculosis disease in patients at a Comprehensive Cancer Center (2001-2005).被误诊为癌症的肺外结核活动性感染：综合癌症中心（2001 - 2005年）患者的结核分枝杆菌病
Cancer. 2005 Dec 15;104(12):2882-7. doi: 10.1002/cncr.21541.
2
Proinflammatory cytokines, transforming growth factor-beta1, and fibrinolytic enzymes in loculated and free-flowing pleural exudates.包裹性和自由流动的胸腔积液中的促炎细胞因子、转化生长因子-β1和纤溶酶。
Chest. 2005 Aug;128(2):690-7. doi: 10.1378/chest.128.2.690.
3
Diagnostic value of interleukin-1alpha, interleukin-6, and tumor necrosis factor in pleural effusions.
白细胞介素-1α、白细胞介素-6和肿瘤坏死因子在胸腔积液中的诊断价值。
Chest. 2002 Mar;121(3):815-20. doi: 10.1378/chest.121.3.815.
4
Tuberculosis associated with infliximab, a tumor necrosis factor alpha-neutralizing agent.与英夫利昔单抗（一种肿瘤坏死因子α中和剂）相关的结核病。
N Engl J Med. 2001 Oct 11;345(15):1098-104. doi: 10.1056/NEJMoa011110.
5
Management of tuberculosis in the United States.美国的结核病管理
N Engl J Med. 2001 Jul 19;345(3):189-200. doi: 10.1056/NEJM200107193450307.
6
Increased serum level of vascular endothelial growth factor in pulmonary tuberculosis.肺结核患者血清血管内皮生长因子水平升高。
Am J Respir Crit Care Med. 2000 Sep;162(3 Pt 1):1120-2. doi: 10.1164/ajrccm.162.3.9911010.
7
Diagnostic Standards and Classification of Tuberculosis in Adults and Children. This official statement of the American Thoracic Society and the Centers for Disease Control and Prevention was adopted by the ATS Board of Directors, July 1999. This statement was endorsed by the Council of the Infectious Disease Society of America, September 1999.《成人及儿童结核病诊断标准与分类》。本美国胸科学会和疾病控制与预防中心的官方声明于1999年7月由美国胸科学会董事会通过。本声明于1999年9月得到美国传染病学会理事会的认可。
Am J Respir Crit Care Med. 2000 Apr;161(4 Pt 1):1376-95. doi: 10.1164/ajrccm.161.4.16141.