癌症还是肺结核：对疑难肿块诊断中临床及影像特征的全面综述
Cancer or Tuberculosis: A Comprehensive Review of the Clinical and Imaging Features in Diagnosis of the Confusing Mass.
作者信息
Xiang Yufan, Huang Chen, He Yan, Zhang Qin
机构信息
Department of Neurosurgery, Department of Oncology, Department of Postgraduate Students, West China School of Medicine, Sichuan University, Chengdu, China.
出版信息
Front Oncol. 2021 Apr 28;11:644150. doi: 10.3389/fonc.2021.644150. eCollection 2021.
Abstract
Confusing masses constitute a challenging clinical problem for differentiating between cancer and tuberculosis diagnoses. This review summarizes the major theories designed to identify factors associated with misdiagnosis, such as imaging features, laboratory tests, and clinical characteristics. Then, the clinical experiences regarding the misdiagnosis of cancer and tuberculosis are summarized. Finally, the main diagnostic points and differential diagnostic criteria are explored, and the characteristics of multimodal imaging and radiomics are summarized.
摘要
混淆性肿块构成了癌症与结核病诊断鉴别方面具有挑战性的临床问题。本综述总结了旨在识别与误诊相关因素的主要理论，如影像学特征、实验室检查和临床特征。然后，总结了癌症和结核病误诊的临床经验。最后，探讨了主要诊断要点和鉴别诊断标准，并总结了多模态成像和放射组学的特征。
相似文献
1
Cancer or Tuberculosis: A Comprehensive Review of the Clinical and Imaging Features in Diagnosis of the Confusing Mass.
Front Oncol. 2021 Apr 28;11:644150. doi: 10.3389/fonc.2021.644150. eCollection 2021.
2
Magnetic resonance imaging radiomics in categorizing ovarian masses and predicting clinical outcome: a preliminary study.
Eur Radiol. 2019 Jul;29(7):3358-3371. doi: 10.1007/s00330-019-06124-9. Epub 2019 Apr 8.
3
Elaboration of a multimodal MRI-based radiomics signature for the preoperative prediction of the histological subtype in patients with non-small-cell lung cancer.
Biomed Eng Online. 2020 Jan 21;19(1):5. doi: 10.1186/s12938-019-0744-0.
4
Radiomics Based on Multimodal MRI for the Differential Diagnosis of Benign and Malignant Breast Lesions.
J Magn Reson Imaging. 2020 Aug;52(2):596-607. doi: 10.1002/jmri.27098. Epub 2020 Feb 14.
5
Radiomics analysis for the differentiation of autoimmune pancreatitis and pancreatic ductal adenocarcinoma in F-FDG PET/CT.
Med Phys. 2019 Oct;46(10):4520-4530. doi: 10.1002/mp.13733. Epub 2019 Aug 13.
6
Radiomics nomogram for differentiating between benign and malignant soft-tissue masses of the extremities.
J Magn Reson Imaging. 2020 Jan;51(1):155-163. doi: 10.1002/jmri.26818. Epub 2019 Jun 6.
7
Predicting underestimation of ductal carcinoma in situ: a comparison between radiomics and conventional approaches.
Int J Comput Assist Radiol Surg. 2019 Apr;14(4):709-721. doi: 10.1007/s11548-018-1900-x. Epub 2018 Dec 19.
8
Radiomics Applications in Renal Tumor Assessment: A Comprehensive Review of the Literature.
Cancers (Basel). 2020 May 28;12(6):1387. doi: 10.3390/cancers12061387.
9
Radiomics and liquid biopsy in oncology: the holons of systems medicine.
Insights Imaging. 2018 Dec;9(6):915-924. doi: 10.1007/s13244-018-0657-7. Epub 2018 Nov 14.
10
Pancreas image mining: a systematic review of radiomics.
Eur Radiol. 2021 May;31(5):3447-3467. doi: 10.1007/s00330-020-07376-6. Epub 2020 Nov 5.
引用本文的文献
1
Impact of pulmonary tuberculosis on lung cancer screening: a narrative review.
Ewha Med J. 2025 Apr;48(2):e23. doi: 10.12771/emj.2025.00052. Epub 2025 Mar 26.
2
Management and survival outcomes of patients with lung cancer at a leading radiotherapy centre in Sub-Saharan Africa: a cross-sectional study.
Ecancermedicalscience. 2025 Jun 11;19:1924. doi: 10.3332/ecancer.2025.1924. eCollection 2025.
3
Head and Neck Tuberculosis: A Rare Diagnosis and the Role of Surgical Biopsy and Histopathological Evaluation in Extrapulmonary Disease.
Pathogens. 2025 May 14;14(5):479. doi: 10.3390/pathogens14050479.
4
Immune dysregulation in endometrial tuberculosis: elevated HLA-G and IL-1Ra as key modulators.
Front Cell Infect Microbiol. 2025 May 1;15:1548238. doi: 10.3389/fcimb.2025.1548238. eCollection 2025.
5
Case report: From misdiagnosis to timely detection: a clinical and imaging guide to neurological presentations of diffuse large B-cell lymphoma-insights from six cases.
Front Oncol. 2025 Feb 10;15:1410953. doi: 10.3389/fonc.2025.1410953. eCollection 2025.
6
Circulating MicroRNAs as Biomarkers for the Early Diagnosis of Lung Cancer and Its Differentiation from Tuberculosis.
Diagnostics (Basel). 2024 Nov 28;14(23):2684. doi: 10.3390/diagnostics14232684.
7
Integrating Genomic Data with the Development of CRISPR-Based Point-of-Care-Testing for Bacterial Infections.
Curr Clin Microbiol Rep. 2024;11(4):241-258. doi: 10.1007/s40588-024-00236-7. Epub 2024 Oct 15.
8
Advances in ovarian cancer radiomics: a bibliometric analysis from 2010 to 2024.
Front Oncol. 2024 Oct 1;14:1456932. doi: 10.3389/fonc.2024.1456932. eCollection 2024.
9
Unlocking the Diagnostic Potential: A Systematic Review of Biomarkers in Spinal Tuberculosis.
J Clin Med. 2024 Aug 25;13(17):5028. doi: 10.3390/jcm13175028.
10
Persistence Pays: Diagnosing Tuberculous Meningitis after 11 Negative Polymerase Chain Reaction Evaluations.
Intern Med. 2025 Mar 15;64(6):931-936. doi: 10.2169/internalmedicine.4087-24. Epub 2024 Aug 10.
本文引用的文献
1
Radiomics model for distinguishing tuberculosis and lung cancer on computed tomography scans.
World J Clin Cases. 2020 Nov 6;8(21):5203-5212. doi: 10.12998/wjcc.v8.i21.5203.
2
Misdiagnosis of a multi-organ involvement hematogenous disseminated tuberculosis as metastasis: a case report and literature review.
Infect Dis Poverty. 2020 Jun 9;9(1):66. doi: 10.1186/s40249-020-00681-8.
3
Artificial intelligence and the future of global health.
Lancet. 2020 May 16;395(10236):1579-1586. doi: 10.1016/S0140-6736(20)30226-9.
4
Radiomics nomogram for preoperative differentiation of lung tuberculoma from adenocarcinoma in solitary pulmonary solid nodule.
Eur J Radiol. 2020 Jul;128:109022. doi: 10.1016/j.ejrad.2020.109022. Epub 2020 Apr 20.
5
Abdominal Tuberculosis Mimicking Cancer Clinically and on Fluorodeoxyglucose (FDG)-Positron Emission Tomography (PET) Imaging: A Two-Case Series.
Am J Case Rep. 2020 Feb 5;21:e918901. doi: 10.12659/AJCR.918901.
6
Artificial Intelligence, Radiology, and Tuberculosis: A Review.
Acad Radiol. 2020 Jan;27(1):71-75. doi: 10.1016/j.acra.2019.10.003. Epub 2019 Nov 20.
7
WHO global progress report on tuberculosis elimination.
Lancet Respir Med. 2020 Jan;8(1):19. doi: 10.1016/S2213-2600(19)30418-7. Epub 2019 Nov 6.
8
Elevated Adenosine Dehydrogenase (ADH) and Positive Tuberculin Test Firstly Misdiagnosed as Tuberculous Pleural Effusion Finally Proved as Pleural Mesothelial Sarcoma by Thoracoscopic Biopsy Pathology: a Case Report and Literature Review.
Clin Lab. 2019 Oct 1;65(10). doi: 10.7754/Clin.Lab.2019.190323.
9
The Value of Combination Analysis of Tumor Biomarkers for Early Differentiating Diagnosis of Lung Cancer and Pulmonary Tuberculosis.
Ann Clin Lab Sci. 2019 Sep;49(5):645-649.
10
Intraparotid Tuberculosis Misdiagnosed as Neoplasm on FNAC.
J Coll Physicians Surg Pak. 2019 Jun;29(6):593-594. doi: 10.29271/jcpsp.2019.06.593.
Zotero 插件