伪装成肿块性癌性病变的肺结核：一例罕见病例报告及文献复习
Pulmonary tuberculosis masquerading as a mass cancer lesion: A rare case report and review of literature.
作者信息
Fatima Gohar, Ahmed Zafar, Akhtar Ayesha, Rehman Syed Tabish, Ali Sajjad, Anan Mahfuza
机构信息
Department of Chest Medicine and Critical Care Liaquat National Hospital and Medical College Karachi Pakistan.
Department of Chest Medicine and Critical Care Dr. Ziauddin University Hospital Karachi Pakistan.
出版信息
Clin Case Rep. 2024 Jul 3;12(7):e9155. doi: 10.1002/ccr3.9155. eCollection 2024 Jul.
KEY CLINICAL MESSAGE
Despite being generally treatable and preventative, pulmonary tuberculosis (PTB) is one of the most common infectious agents that cause death. Misdiagnosis of TB frequently leads to unwarranted diagnostic procedures and postpones the start of treatment.
ABSTRACT
Pulmonary tuberculosis (PTB) can present with various unusual radiological and clinical characteristics. Misdiagnosis of TB frequently leads to unwarranted diagnostic procedures and postpones the start of treatment. Here, we describe a 50-year-old man who presented with a cancerous-type lesion on radiological findings and atypical symptoms that led to an initial diagnosis of lung cancer. However, histopathology and biopsy of the lung lesion revealed chronic granulomatous inflammation with caseous necrosis, confirming PTB as the true cause, with no further indications of malignancy.
关键临床信息
尽管肺结核（PTB）总体上是可治疗和可预防的，但它是导致死亡的最常见传染病原体之一。结核病的误诊常常导致不必要的诊断程序，并推迟治疗的开始。
摘要
肺结核（PTB）可能呈现出各种不寻常的放射学和临床特征。结核病的误诊常常导致不必要的诊断程序，并推迟治疗的开始。在此，我们描述一名50岁男性，其放射学检查发现有癌样病变且伴有非典型症状，最初被诊断为肺癌。然而，肺部病变的组织病理学和活检显示为伴有干酪样坏死的慢性肉芽肿性炎症，证实PTB是真正病因，未发现进一步的恶性迹象。
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