论文部分内容阅读
结核球为一种干酪性病变,被纤维组织包绕而形成的球形病灶,临床工作中并非少见.典型病例诊断不难,但如缺少特征性的X线表现,常延误诊断,本组6例均为术前误诊病例.本文目的在于进一步认识胸部结核球的少见影像学表现,同时侧重于与肺肿瘤的鉴别.1 病例报告例1:女,44岁.体检时胸透发现右上肺肿物.患者无明显临床症状、体征,血压15/10kPa,体温36.5℃,脉搏92次/分,实验室检查无特殊.X线胸部平片示右上肺野可见一3.0cm×3.0cm球形病灶,边缘有分叶及细毛刺,侧位胸片病变位于右上叶后段.有明显的分叶.体层片示病灶内有偏心性空洞,壁不规则,无钙化,外侧缘可见“兔耳征”.胸部CT示肿块的分叶、毛刺及偏心性空洞更为清楚.影像学诊断:右上肺周围型肺癌.手术病理证实:右上肺结核球.
Tuberculoma is a cheese disease, surrounded by fibrous tissue formed by the spherical lesions, clinical work is not uncommon.Clinical diagnosis is not difficult, but such as the lack of characteristic X-ray findings, often delayed diagnosis, the group of 6 patients Are misdiagnosed cases of preoperative.The purpose of this paper is to further understand the imaging features of the chest tuberculous ball uncommon, while focusing on the identification of lung tumors.1 case report, female, 44 years old.On the chest examination found the right upper lung tumor No obvious clinical symptoms, signs, blood pressure 15 / 10kPa, body temperature 36.5 ℃, pulse 92 beats / min, no special laboratory tests.X-ray chest plain film showed a 3.0cm × 3.0cm in the right lung field lesions, There are lobes and fine burr, lateral chest lesions located in the right upper lobe posterior segment. There are obvious lobes. Tricuspid lesions showed eccentric cavities, irregular wall, no calcification, the outer edge of the visible “rabbit ear sign” Chest CT showed more clear lobule, burr and eccentric cavity imaging diagnosis: right upper lung peripheral lung cancer. Surgical pathology confirmed: right upper tuberculosis ball.