Sakurada T, Ogawa K, Fujii S, Shinoda A
Division of Respiratory Medicine, Komonji Hospital, Kitakyusyu, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Mar;33(3):332-5.
We report a rare case of tuberculoma with pneumoconiosis (Graphite lung). A 62-year-old man was admitted to our hospital for diagnosis of a rapidly growing coin lesion in the right lung (S8). He had worked for 42 years in a foundry and given a diagnosis of pneumoconiosis (Graphite lung). Because transbronchial lung biopsy and percutaneous needle aspiration biopsy were not diagnostic, the right lower lobe was partially resected. Histological examination revealed the presence of caseous necrosis in a solitary mass. Therefore, it is important to consider tuberculoma in the differential diagnosis of a coin lesion in patients with pneumoconiosis.
我们报告了一例罕见的合并尘肺（石墨肺）的结核瘤病例。一名62岁男性因诊断右肺（S8）迅速增大的硬币状病灶入住我院。他在一家铸造厂工作了42年，被诊断为尘肺（石墨肺）。由于经支气管肺活检和经皮针吸活检均未明确诊断，遂对右下叶进行了部分切除。组织学检查显示在一个孤立肿块中存在干酪样坏死。因此，在尘肺患者硬币状病灶的鉴别诊断中考虑结核瘤很重要。
