[在男性重度吸烟者中怀疑肺结节:活检真的需要吗?]
F Charif1, L Peretti1, D Kacimi1
1Service de pneumologie, hôpitaux du Léman, 3, avenue de la Dame, Thonon-lès-Bains, France.
Revue des maladies respiratoires
|December 2, 2023
概括
胃食道静脉的硬化疗法可以导致非血栓性肺栓塞,呈现为单一的肺结节. 了解这一罕见发现有助于避免不必要的活检.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- 硬化疗法是肝硬化患者的胃食道静脉破裂上部胃肠道出血的关键治疗方法.
- 并发症可能包括非血栓性肺栓塞 (PE).
- 已知硬化疗法的肺部表现,但单独的结节没有得到很好的描述.
研究的目的:
- 报告一个罕见的单独肺结节病例,作为硬化疗法后非血栓性PE的表现.
- 为了强调认识到这一放射性发现的重要性.
主要方法:
- 一个55岁的男性肝硬化患者的病例报告,有UGB病史,接受了硬化疗法治疗.
- 用增强型CT扫描进行成像显示了一个单独的肺结节.
- 后续CT证实结节分辨率. 后续CT证实结节分辨率.
主要成果:
- 一个孤独的肺结节被确定在右上叶两个月后硬化疗法.
- 结节在后续成像时完全消失.
- 在整个过程中,患者无症状.
结论:
- 孤独的肺结节可能是胃食道静脉的硬化疗法后非血栓性PE的放射性表现.
- 意识和适当的放射性随访可以防止不必要的侵入性手术,如活检.
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