大小变化的肺结节与骨髓增生异常综合征。

Waxing and waning pulmonary nodules and myelodysplastic syndrome.

作者信息

Köksal Deniz, Mutluay Neslihan, Boyac Ebru, Basay Nihal, Bayiz Hülya, Berktas M Bahadr, Aydn Mehtap, Kaya Sadi, Berkoglu Mine

机构信息

2nd Chest Diseases Clinic, Pathology Clinic, and Chest Surgery Clinic, Atatürk Chest Diseases and Chest Surgery Education and Research Hospital, Ankara, Turkey.

出版信息

South Med J. 2009 Jul;102(7):741-3. doi: 10.1097/SMJ.0b013e3181a852e7.

DOI:10.1097/SMJ.0b013e3181a852e7

PMID:19488012

Abstract

A 53-year-old diabetic woman with the diagnosis of myelodysplastic syndrome was admitted to our hospital with symptoms of anorexia, malaise, fatigue, night sweats, and weight loss. The radiological evaluation revealed waxing and waning pulmonary nodules. A diagnosis of pulmonary tuberculosis was reached by pathologic examination of a wedge biopsy. We did not find a similar case in the literature. Clinicians should keep tuberculosis in mind as a possible etiology of waxing and waning pulmonary nodules.

摘要

一名53岁的糖尿病女性，诊断为骨髓增生异常综合征，因厌食、不适、疲劳、盗汗和体重减轻症状入住我院。影像学评估显示肺部结节大小有变化。通过楔形活检的病理检查确诊为肺结核。我们在文献中未发现类似病例。临床医生应将肺结核视为肺部结节大小变化的可能病因。