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胸腔结肠炎在腔空间模仿肺癌:一个案例报告
Ghulam Mustafa Aftab1, Kristianna Fredenburg2, Mindaugas Rackauskas3
1Pulmonary Medicine, University of Florida College of Medicine, Gainesville, USA.
Cureus
|December 11, 2023
概括
这项案例研究突出了胸腔结石,良性流动性体,可以在成像上模仿肺结节. 区分这些罕见的实体需要一个多学科的方法和手术干预.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 放射学 放射学是指放射学
背景情况:
- 肺结节是由于各种原因造成的诊断挑战,包括良性和恶性疾病.
- Pleural-based nodules,就像在这个案例中偶然发现的那种,可以特别难以诊断.
- 区分良性和恶性肺结节对于患者管理至关重要.
研究的目的:
- 介绍一个71岁的女性病例,她偶然发现了基于肺部的肺部结节.
- 为了说明诊断挑战和多学科方法在管理复杂的肺结节病例的实用性.
- 强调在肺结节的差异诊断中考虑罕见的良性实体的重要性,如胸腔炎.
主要方法:
- 最初的CT泌尿图显示了一个偶然的肺部结节.
- 连续成像显示结节的生长.
- pozitron发射断层扫描/计算机断层扫描 (PET/CT) 扫描和CT导向活检进行进一步调查.
- 为了确定确诊,进行手术切除.
- 切除结节的组织病理学检查.
主要成果:
- 包括PET/CT和活检在内的初步调查给出了不确定的结果.
- 手术切除揭示了在多空间内有三个移动的,类似化的结节.
- 组织病理学分析发现这些是良性的化结节,是一种胸腔炎.
- 恶性病症最终被排除在外.
结论:
- 胸腔结肠炎是罕见的,良性多体,可以模仿肺结节,构成诊断挑战.
- 在复杂的病例中,包括手术干预在内的多学科方法对于准确的诊断至关重要.
- 放射科医生和临床医生在评估肺结节时,应保持对罕见良性实体的高度怀疑指数.
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