Cameron E W
Thorax. 1978 Feb;33(1):117-20. doi: 10.1136/thx.33.1.117.
Biopsy of lymph nodes at mediastinoscopy has been the method of diagnosis of tuberculosis in 14 patients; Mycobacterium tuberculosis was cultured from the nodes in nine cases, and in five there was histological evidence of the disease but cultural confirmation was lacking. All patients had radiographic abnormality of the superior mediastinum, and a frequent finding at mediastinoscopy was mediastinal fibrosis involving the fascia and lymph nodes. No cause other than tuberculosis could be demonstrated to account for the mediastinal fibrosis, and the patients made clinical recoveries in response to standard courses of antituberculosis chemotherapy. The development of superior vena caval compression was not observed.
经纵隔镜取淋巴结活检一直是诊断14例结核病患者的方法；9例从淋巴结中培养出结核分枝杆菌，5例有该病的组织学证据但缺乏培养确诊依据。所有患者均有上纵隔的影像学异常，纵隔镜检查常见的发现是纵隔纤维化累及筋膜和淋巴结。除结核病外，未发现其他原因可解释纵隔纤维化，且患者对抗结核标准化疗程化疗有临床反应，未观察到上腔静脉受压情况。
