Chastonay P
Institut universitaire de pathologie, Lausanne.
Schweiz Med Wochenschr. 1988 Nov 5;118(44):1612-5.
Tuberculosis may simulate cancer. We report on twelve cases with the clinical diagnosis of cancer in which autopsy revealed tuberculosis. Weight loss and fever were the most common symptoms. Chest x-ray abnormalities were seen in 50% of cases. A debilitating disease other than tuberculosis was present in 6 cases. Miliary disseminated tuberculosis was the most common form encountered at autopsy. Physicians should be aware that the clinical findings of tuberculosis may suggest malignancy.
肺结核可能酷似癌症。我们报告12例临床诊断为癌症但尸检发现为肺结核的病例。体重减轻和发热是最常见的症状。50%的病例胸部X线有异常表现。6例患者存在除肺结核外的其他消耗性疾病。尸检时最常见的肺结核类型为血行播散型肺结核。医生应意识到肺结核的临床表现可能提示为恶性肿瘤。
