Onishi Y, Imai Y, Tojima H, Nakajima K, Takahashi A
Department of Internal Medicine, Hitachi General Hospital.
Intern Med. 1998 Feb;37(2):157-60. doi: 10.2169/internalmedicine.37.157.
A pharyngeal tonsil biopsy specimen from a 27-year-old male revealed epithelioid cell granulomas with noncaseating necrosis. Systemic enlargement of the lymph nodes was present. Plain chest radiographic and computed tomography (CT) images showed ground-glass attenuation in the lungs and bilateral hilar lymphadenopathy. Biopsy of inguinal region nodes confirmed the diagnosis of systemic sarcoidosis. Detailed examination of the nasopharynx should be performed in any case presenting with systemic sarcoidosis because the specimen is readily removable and the pathologic findings of the local lesion may support the diagnosis.
一名27岁男性的咽扁桃体活检标本显示上皮样细胞肉芽肿伴非干酪样坏死。存在全身淋巴结肿大。胸部X线平片和计算机断层扫描（CT）图像显示肺部磨玻璃样密度影和双侧肺门淋巴结肿大。腹股沟区淋巴结活检确诊为系统性结节病。对于任何出现系统性性系统性结节病的病例，都应进行详细的鼻咽部检查，因为该标本易于获取，且局部病变的病理结果可能有助于诊断。
