Mahmoud Ines, Tekaya Aicha Ben, Tekaya Rawdha, Saidane Olfa, Gafsi Leila, Benhammou Mathilde, Bruno Fautrel, Abdelmoula Leila
Department of Rheumatology, Charles Nicolle, Tunis, Tunisia.
Department of Rheumatology, Pitié Salpetrière Hospital, Paris, France.
Caspian J Intern Med. 2017 Summer;8(3):220-222. doi: 10.22088/cjim.8.3.220.
Pulmonary nodular excavation should firstly evoke tuberculosis or necrosis broncho-pulmonary tumor, particularly: epidermoid carcinoma. The case discussed here illustrated these difficulties in patients with rheumatoid arthritis (RA).
A 63-year-old woman was presented with a-three-year history of RA and a recent discovery of an excavated pulmonary nodule. Initial investigations focused on a rheumatoid origin. The evolution of the disease was worrisome and surgical exploration was deemed mandatory. The result was the discovery of a nodule of a malignant nature.
In this paper, we discussed the excavation of the pulmonary nodule, its diagnoses and management of the difficulties we encountered.
肺结节空洞首先应考虑肺结核或坏死性支气管肺肿瘤，尤其是：表皮样癌。本文讨论的病例说明了类风湿关节炎（RA）患者所面临的这些诊断难题。
一名63岁女性，有3年类风湿关节炎病史，近期发现肺部有一个空洞性结节。初步检查集中在类风湿病因方面。病情发展令人担忧，手术探查被认为是必要的。结果发现是一个恶性结节。
在本文中，我们讨论了肺结节空洞的情况、其诊断以及我们在处理过程中遇到的困难。
