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舌结核多是继发身体它处感染而来,临床常表现为鼠咬状溃疡,病理活检具有典型的舌结节,而原发增生性舌结核属少见,特此报告如下: 患者男性,52岁,因右侧舌体无痛性进行性增大4月余,曾就诊于多家医院予抗炎治疗不见好转,疑为“舌癌”而转来我院。查体:体质弱,消瘦,腋温37.2℃。右侧舌体中外侧有约长3cm裂沟,沟两侧有约花生米及黄豆大小结节状隆起,边缘相互融合,隆起物上部布满小颗粒状突起,上覆黄白苔,质硬,无触疼,明显高于左侧舌体。颈部未触及肿大淋巴结,X线胸片未见异常,结核菌素试验阴性,多次痰找抗酸杆菌皆无阳性发现,血沉30mm/h。病理诊断:“‘舌’
Tongue and tuberculosis are mostly secondary to the infection of the body where it comes from, the clinical manifestations of bite-like ulcers, pathological biopsy with typical tongue nodules, and primary proliferative tongue tuberculosis is rare, the following report is hereby patient male, 52 years old , Due to the right tongue painless progressive increase more than 4 months, had seen multiple hospitals for anti-inflammatory treatment did not improve, suspected “tongue cancer” and transferred to our hospital. Physical examination: physical weakness, weight loss, axillary temperature 37.2 ℃. On the right side of the tongue in the outer side of about 3cm long fissure groove on both sides of the ditch about peanuts and soybean size nodular uplift, the edge of mutual fusion, the bulge covered with small granular protrusions, overlying the yellow-white moss, hard, No touch pain, significantly higher than the left tongue. Neck did not touch the enlarged lymph nodes, chest X-ray showed no abnormalities, tuberculin test was negative, sputum looking for acid-fast bacilli were found no positive, erythrocyte sedimentation rate 30mm / h. Pathological diagnosis: “tongue”