Hammen I
Respiratory Department of the University Hospital Odense, Denmark.
Respir Med Case Rep. 2015 Jul 10;16:45-7. doi: 10.1016/j.rmcr.2015.06.007. eCollection 2015.
Tuberculosis (TB) is well known as a diagnostic chameleon and can resemble malignancy. In thorax TB can be manifested as pulmonary infiltrates and/or mediastinal lymphadenopathy. In low incident countries with high incidence of lung cancer and varying clinical presentations, TB often gets misdiagnosed with the result of delayed treatment start and unnecessary diagnostic procedures. Our case report presents two patients, who were referred to the Thorax diagnostic centre at the Department of Respiratory Medicine, Odense University Hospital, with presumptive diagnosis of neoplasm and had proved lung TB with no evidence of malignancy instead. In the first case diagnosis was confirmed after thoracotomy, in the second case after bronchoscopy.
结核病（TB）以其诊断的多变性而闻名，且可能类似恶性肿瘤。在胸部，结核病可表现为肺部浸润和/或纵隔淋巴结肿大。在肺癌发病率高且临床表现多样的低发病率国家，结核病常常被误诊，导致治疗开始延迟和进行不必要的诊断程序。我们的病例报告介绍了两名患者，他们被转诊至欧登塞大学医院呼吸内科的胸部诊断中心，初步诊断为肿瘤，结果却证实为肺结核，无恶性肿瘤迹象。第一例在开胸手术后确诊，第二例在支气管镜检查后确诊。
