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[酷似癌症的结核病。对临床实践中存在诊断困难的12例病例的尸检研究]

[Tuberculosis simulating cancer. An autopsy study of 12 cases presenting diagnostic difficulties in clinical practice].

作者信息

Chastonay P

机构信息

Institut universitaire de pathologie, Lausanne.

出版信息

Schweiz Med Wochenschr. 1988 Nov 5;118(44):1612-5.

PMID:3238397
Abstract

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.

摘要

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。

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