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[假性肿瘤性支气管结核]

[Pseudotumoral bronchial tuberculosis].

作者信息

Barrios Alonso V, Pacheco Galván A, Golpe Gómez A, Romero Garcés B, Núñez Calix N, Domínguez Reboiras S

机构信息

Servicio de Neumología, Hospital Ramón y Cajal, Madrid.

出版信息

An Med Interna. 1990 Jan;7(1):19-23.

PMID:2103192
Abstract

We analyse our own experience of a rare tuberculosis presentation that we call pseudotumoral bronchial tuberculosis. 9 cases were studied, which due to radiological, endoscopic and clinical features, a diagnosis of bronchogenic carcinoma was made. The median age was 63.7 years, 7 were male and 2 were female. The hilar or mediastinic radiological pattern was frequent. The bacterial diagnosis was made through the study of the samples obtained by bronchoscopy, except in 2 cases which were diagnosed through post-bronchoscopy sputum examination. The bronchial biopsy showed the typical necrotic granulomas of tuberculosis in only one case. Supported by the bad evolution of our patients treated without steroids, the possible efficacy of early use of steroid is suggested to avoid the most important sequelae, bronchial stenosis.

摘要

我们分析了自身遇到的一种罕见的肺结核表现,我们称之为假性肿瘤性支气管结核。研究了9例病例,由于其放射学、内镜检查及临床特征,最初诊断为支气管源性癌。中位年龄为63.7岁,7例为男性,2例为女性。肺门或纵隔放射学表现较为常见。除2例通过支气管镜检查后的痰液检查确诊外,其余病例均通过支气管镜检查获取的样本进行细菌学诊断。支气管活检仅在1例中显示出典型的结核坏死性肉芽肿。鉴于未使用类固醇治疗的患者病情进展不佳,建议早期使用类固醇可能有效,以避免最重要的后遗症——支气管狭窄。

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