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支气管内膜结核肉芽肿型的早期病损与一般炎症在内镜下较难区分,对抗结核治疗反应较快,随着肺部病变的吸收而相应好转,不太引起注意,故易被误诊为肺癌。临床资料本组男性6例,女性4例,年龄5～64岁,平均29.7岁。咳嗽10例,咳痰8例,咯血7例,发热2例。胸部X线检查阴性2例,右侧4例,左侧4例;阴影属肺门部4例,前段2例,后段及后基底段各1例。纤支镜见:蒂状、乳头状、菜花状、结节状肉芽肿8例,外压性闭塞或环状狭窄2例;经活检仅2例明确报告为结核。痰菌阳
Early bronchial granuloma type endometrial lesions and general inflammation in the endoscopic more difficult to distinguish, respond to treatment of tuberculosis faster, with the corresponding improvement in the absorption of lung lesions, less attention, it is easily misdiagnosed as Lung cancer. Clinical data The group of 6 males and 4 females, aged 5 to 64 years, mean 29.7 years. Cough in 10 cases, sputum in 8 cases, hemoptysis in 7 cases, fever in 2 cases. Chest X-ray negative in 2 cases, right in 4 cases, left in 4 cases; shadow of the hilar in 4 cases, anterior segment in 2 cases, the posterior segment and the basal segment in 1 case. Bronchoscopy see: pedicle, papillary, cauliflower-like, nodular granuloma in 8 cases, external pressure occlusion or annular stenosis in 2 cases; biopsy only 2 cases were clearly reported as tuberculosis. Phlegm Yang