Nutting S, Carr I, Cole F M, Black L L
Can J Surg. 1979 Nov;22(6):584-6.
Two patients, a 67-year-old woman and a 33-year-old man, had asymptomatic solitary nodular masses in the lung detected by roentgenographic examination. The preoperative investigations failed to make a firm diagnosis or to rule out the presence of a malignant lesion. In both patients the lesions were resected and found to contain noncaseating granulomas. Electron microscopy and immunochemical studies for lysozyme supported the diagnosis of solitary nodular sarcoidosis. Such roentgenographic presentations of sarcoid are rare.
两名患者，一名67岁女性和一名33岁男性，经X线检查发现肺部有无症状的孤立性结节肿块。术前检查未能做出明确诊断，也未能排除恶性病变的存在。两名患者的病变均被切除，发现含有非干酪样肉芽肿。电子显微镜检查和溶菌酶免疫化学研究支持孤立性结节性结节病的诊断。这种结节病的X线表现很罕见。
