急性粟粒性肺结核并肺转移性腺癌共存 1 例报告
Coexistence of acute miliary pulmonary tuberculosis and metastatic lung adenocarcinoma: a case report.
机构信息
Department of Abdomen Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041, China;
出版信息
Quant Imaging Med Surg. 2013 Jun;3(3):178-9. doi: 10.3978/j.issn.2223-4292.2013.06.06.
A 36-year-old man complained of cough, expectoration and progressive anhelation for more than 3 months. Thoracic computed tomography (CT) showed miliary nodules diffusely distributed throughout both lungs. Acute miliary pulmonary tuberculosis (AMPT) was confirmed by sputum culture; meanwhile lung adenocarcinoma was found by sputum cytology. Subsequently, adenocarcinoma of colon was diagnosed according to PET/CT images and histopathology. Herein we report this case of coexistence of AMPT and metastatic lung adenocarcinoma, and suggest that diagnosis of pulmonary tuberculosis should be made cautiously for patients with diffusely military nodules, especially for those without symptoms alleviated after anti-tuberculous treatment.
一位 36 岁男性，因咳嗽、咳痰和进行性呼吸困难 3 个月余就诊。胸部 CT 显示双肺弥漫分布的粟粒状结节。痰培养证实为急性血行播散性肺结核（AMPT）；同时痰细胞学检查发现肺腺癌。随后，根据 PET/CT 图像和组织病理学检查诊断为结肠癌。现报道 1 例 AMPT 合并转移性肺腺癌患者，提示对于弥漫性粟粒状结节患者，尤其是抗结核治疗后症状无缓解者，应谨慎诊断肺结核。
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