肺结核在儿童中呈现为孤独的肺质量
Ayano Watanabe1, Takehisa Sano1, Kenta Murayama1
1Department of Respiratory Medicine, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.
Pediatrics
|January 3, 2025
概括
胸腔结核瘤是一种罕见的儿童孤独性肺结核,在一个12岁的男孩身上被诊断出. 这一案例凸显了在流行地区考虑多结核病的重要性.
科学领域:
- 肺部病理学 肺部病理学
- 儿科瘤学 儿科瘤学
- 传染性疾病 传染性疾病
背景情况:
- 胸腔结核瘤通常在结核性胸膜炎治疗期间出现.
- 在没有先前结核病治疗的情况下,单独的肺部结节很少见.
- 此前没有报告过小儿肺结核瘤作为单一质体呈现的儿科病例.
研究的目的:
- 报告一个罕见的肺结核病例在一个孩子呈现为一个孤独的质量.
- 为了强调诊断挑战和分化考虑单独的肺瘤.
主要方法:
- 一个12岁男孩的病例介绍,患有单独的肺部质量.
- 诊断工作包括胸部放射,计算机断层扫描 (CT) 引导的活检和聚合酶链反应 (PCR).
- 进行了手术切除,以确定确定的诊断和治疗.
主要成果:
- 确定了一个4.5厘米长的肺部质量,最初怀疑是恶性.
- 通过CT指导的活检显示了缩性颗粒瘤,但对Mycobacterium结核病的PCR是负的.
- 切除后的组织病理学诊断证实了多叶结核病.
结论:
- 在单独的多瘤的差异诊断中应考虑多结核,特别是在结核流行地区.
- 早期诊断和治疗至关重要,即使没有典型的结核病史.
- 这一病例扩大了儿科患者肺结核瘤已知的临床谱.
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