卡波西肉瘤患者的超声检测结果:与扩散性结核病重叠的超声学特征
Michaela Aurelia Maria Huson1, Tapiwa Kumwenda2, Joe Gumulira2
1Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
The ultrasound journal
|May 31, 2023
概括
用超声波对艾滋病毒相关结核病 (FASH) 的集中评估在卡波西肉瘤 (KS) 患者的超声波发现可以模仿结核病. 本研究描述了KS中常见的超声波特征,有助于艾滋病毒患者的差异诊断.
科学领域:
- 医疗成像医学成像
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 用超声波对艾滋病毒相关结核病 (FASH) 进行集中评估,用于高级艾滋病毒患者的肺外结核病 (TB).
- 卡波西肉瘤 (KS) 在这个人群中很常见,它的超声波发现可以模仿结核病.
- 在超声波上区分KS和TB是临床上具有挑战性的.
研究的目的:
- 描述诊断为卡波西肉瘤 (KS) 的患者的超声波发现.
- 帮助对艾滋病毒阳性个体的机会性感染进行差异诊断.
主要方法:
- 马拉维灯塔诊所的前性观察研究.
- 连续的新诊断的KS患者,没有已知的结核病,接受了FASH和腹部超声波.
- 评估包括输液,肝脏/脏变化和淋巴腺病变.
主要成果:
- 包括30名KS患者;27%的人患有病理性输液 (多发性,心周,).
- 淋巴腺病变很常见 (23%),观察到焦点脏病变 (10%) 和肝脏病变 (20%).
- 观察到不寻常的脏"海绵状图案"和类似于血管瘤的肝脏病变.
结论:
- 大多数KS患者表现出超声波特征,如淋巴腺病变和输液.
- 在KS的超声波发现可以模仿肺外结核病,特别是低声损伤.
- 识别KS的各种超声波特征对于准确诊断和与其他机会性疾病区分至关重要.
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