Afriyie-Mensah Jane S, Awindaogo Felix R, Asomani Samuel Kofi
University of Ghana Medical School, Department of Medicine and Therapeutics, Accra, Greater Accra, Ghana.
Korle Bu Teaching Hospital, Department of Medicine and Therapeutics, Accra, Greater Accra, Ghana.
Ghana Med J. 2020 Jun;54(2):126-130. doi: 10.4314/gmj.v54i2.12.
Pulmonary tuberculosis manifesting as a mass lesion, thus, mimicking a lung carcinoma is an unusual radiographic presentation of tuberculosis (TB). The common radiologic patterns and clinical presentations are well known and documented. We report two cases of pulmonary tuberculosis with a neoplastic appearance on chest imaging diagnosed histologically. A 21 - year old female with cough, weight loss, anorexia and an unremarkable physical examination. Chest radiography showed a right apical mass suggestive of lung cancer. Histology of the lesion revealed parenchymal pulmonary tuberculosis. A 49-year old male with left-sided chest pain, cough, anorexia, weight loss, mild pallor with an unremarkable chest examination. Chest imaging showed a left apical mass and mediastinal lymphadenopathy. Microscopic examination of the mass confirmed pulmonary tuberculosis. Pseudotumour pulmonary tuberculosis is a rare clinical entity that can lead to diagnostic challenges and must be considered in the differential diagnosis when mass lesions are seen on chest imaging, especially in TB endemic areas.
None declared.
表现为肿块病变从而酷似肺癌的肺结核是一种不常见的肺结核影像学表现。常见的放射学模式和临床表现已广为人知并记录在案。我们报告两例经组织学诊断的胸部影像学表现为肿瘤样外观的肺结核病例。一名21岁女性，有咳嗽、体重减轻、厌食症状，体格检查无异常。胸部X线显示右肺尖肿块，提示肺癌。病变组织学检查显示为实质性肺结核。一名49岁男性，有左侧胸痛、咳嗽、厌食、体重减轻、轻度面色苍白，胸部检查无异常。胸部影像学显示左肺尖肿块及纵隔淋巴结肿大。肿块的显微镜检查确诊为肺结核。假瘤型肺结核是一种罕见的临床实体，可导致诊断困难，当胸部影像学发现肿块病变时，尤其是在结核病流行地区，必须在鉴别诊断中予以考虑。
未声明。
