摘要
研究肺结核瘤与肺癌的鉴别诊断。方法分析４２例经病理证实的肺结核瘤病例的临床症状、胸片、断层Ｘ线片和ＣＴ等影像学表现及实验室资料并将病灶的影像和表现对照巨体标本的病理发现，寻找重要鉴别诊断征像。结果分叶轮廓，毛刺状外缘，空泡征，卫星病灶，胸膜改变，钙化点为重要征象，其中分叶轮廓、毛刺状外缘以及胸膜改变等尤其需要细致辨认。结论应用这些重要鉴别诊断征象，结合结核瘤阳性化验结果，可帮助鉴别肺结核瘤和肺癌。
Objective For the purpose to find the possible reasons causing pulmonary tuberculoma been misdiagnosed as lung cancer.Merthods Clinical symptoms,chest Xray films,tomographic and CT manifestations as well as laboratory data of42cases of pulmonary tuberculoma pathologically proved were thoroughly reviewed.All the radiological appearances were compared with pathological findings. Results Shallow lobulated contour,spurlike shadow formation,vacoule sign,satellite lesions,pleural involvement,calcified spots were found very important for differential diagnosis of these 2 diseases. Conclusions It is difficult to differentiate pulmonary tuberculoma from lung cancer.By paying specical attention to the above mentioned appearance,evaluating them very carefully and considering them with positive laboratory findings,it might be possible to avoid misdiagnosis before surgical operation.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1997年第2期104-106,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
肺结核瘤
肺肿瘤
鉴别诊断
TuberculomaLung neoplasmDiagnosis,differential
