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移植于肺结核后遗症病变上的肺鳞状上皮肿瘤

Squamous Pulmonary Neoplasia Grafted on Lesions of Pulmonary Tuberculosis Sequelae.

作者信息

Danciu A, Bondari S, Muntean M, Trifan C, Radu L, Bondari D

机构信息

University of Medicine and Pharmacy of Craiova, Romania.

Emergency County Hospital of Slatina, Romania.

出版信息

Curr Health Sci J. 2018 Jul-Sep;44(3):304-310. doi: 10.12865/CHSJ.44.03.16. Epub 2018 Jul 15.

DOI:10.12865/CHSJ.44.03.16
PMID:30647953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6311214/
Abstract

Clinical symptoms of hemoptysis, chest pain, dyspnea, night sweats and weight loss seen in a patient known for 14 years with pulmonary tuberculosis with sequelae lesions, will always guide the diagnose to a reactivated pulmonary tuberculosis. Yet, in this case, the latest pulmonary radiography revealed newly emerging bilateral lesions with the appearance of a macronodular opacity of medium intensity, discreetly non-homogeneous, located apical-sub-clavicular on the right side, but also with an apical-sub-clavicular cavity lesion on the left side, well defined, with uniform opaque content, and clear-cut outline. Complementary examinations, computed tomography and biopsy bronchoscopy, confirmed the diagnosis of upper right lobe pulmonary tumor with suspicion of aspergilloma in the upper left lobe.

摘要

一名有肺结核后遗症病史14年的患者出现咯血、胸痛、呼吸困难、盗汗和体重减轻等临床症状，这往往会使诊断指向复发性肺结核。然而，在该病例中，最新的肺部X光检查显示双侧出现新病灶，表现为中等强度的大结节状不透明影，略显不均匀，位于右侧锁骨下尖段，但左侧锁骨下尖段也有一个空洞性病灶，边界清晰，内容物均匀不透明，轮廓清晰。进一步检查，计算机断层扫描和活检支气管镜检查，确诊为右上叶肺肿瘤，怀疑左上叶有曲菌球。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/f424cebb1e46/CHSJ-44-03-16-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/29b51bc4ab24/CHSJ-44-03-16-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/68ab3857970d/CHSJ-44-03-16-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/62c3c3a1d173/CHSJ-44-03-16-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/241a9a714815/CHSJ-44-03-16-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/0cd29d07ef52/CHSJ-44-03-16-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/444a039f7540/CHSJ-44-03-16-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/f686da7c344f/CHSJ-44-03-16-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/f424cebb1e46/CHSJ-44-03-16-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/29b51bc4ab24/CHSJ-44-03-16-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/68ab3857970d/CHSJ-44-03-16-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/62c3c3a1d173/CHSJ-44-03-16-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/241a9a714815/CHSJ-44-03-16-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/0cd29d07ef52/CHSJ-44-03-16-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/444a039f7540/CHSJ-44-03-16-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/f686da7c344f/CHSJ-44-03-16-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd42/6311214/f424cebb1e46/CHSJ-44-03-16-fig8.jpg

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