原发部位不明的转移性血管肉瘤被误诊为结核病。
Metastatic angiosarcoma of unknown primary site misdiagnosed as tuberculosis.
作者信息
Issakwisa Mwakyula, Mwakyusa Ngwilo, Torres Liset, Ngatunga Cecilia, Chaula Baraka, Maro Haika, Mboma Lazaro, Nguma Irene, Nqwata Lamla, Mujwahuzi Leodegard
机构信息
Department of Internal Medicine Mbeya Zonal Referral Hospital and University of Dar es Salaam Mbeya College of Health and Allied Sciences Mbeya Tanzania.
Department of Radiology Mbeya Zonal Referral Hospital and University of Dar es Salaam Mbeya College of Health and Allied Sciences Mbeya Tanzania.
出版信息
Clin Case Rep. 2020 Sep 16;8(12):3018-3023. doi: 10.1002/ccr3.3243. eCollection 2020 Dec.
Tuberculosis in endemic areas is likely to be overdiagnosed in patients with atypical clinical and imaging findings mimicking tuberculosis, as in our case of angiosarcoma. Detailed history, physical examination, imaging, and histopathology avert diagnosis of tumors as tuberculosis in resource-limited settings, where countless diseases have common clinical and imaging presentations.
在地方流行区，对于临床和影像学表现不典型、类似结核病的患者，如我们所诊治的血管肉瘤病例，结核病很可能被过度诊断。在资源有限的环境中，详细的病史、体格检查、影像学检查和组织病理学检查有助于避免将肿瘤误诊为结核病，因为在这种环境下，无数疾病都有共同的临床和影像学表现。
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