虚假的伪结核呈现的肺性腺癌
Rachid Benchanna1, Mohamed Kaakoua2, Mohamed Amine Azami3
1Department of Pulmonology, Avicenne Military Hospital, Marrakech, MAR.
Cureus
|April 21, 2025
概括
误导性皮腺癌 (ADC) 可以延迟诊断和治疗. 这一案例凸显了在慢性肺结合中考虑ADC的重要性,即使是模仿结核病的不寻常表现.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 斑疹性腺癌 (ADC) 可能呈非典型,导致诊断延迟.
- 肺癌的延迟诊断会降低治疗治疗的机会.
- 粘性型ADC可以模仿其他肺部疾病,如结核病.
研究的目的:
- 报告一种非典型呈现的粘膜皮性ADC病例.
- 强调在慢性肺结合中需要考虑白性ADC的必要性.
- 为突出诊断患有异常放射性临床特征的皮性ADC所面临的挑战.
主要方法:
- 一个患有粘膜皮性ADC的病人的病例报告.
- 审查放射临床表现和诊断工作.
- 病理检查包括EGFR和ALK状态.
主要成果:
- 粘膜斑状ADC模仿了肺结核.
- 由于异常呈现,诊断延迟了.
- 瘤没有显示EGFR表达或ALK重组.
- 在没有远程转移的情况下,观察到双边肺部感染.
结论:
- 在慢性肺结合时,即使有非典型的表现,也应该考虑Lepidic ADC.
- 早期识别白性ADC对于及时和治愈性治疗至关重要.
- 这一案例强调了在具有挑战性的肺病例中差异诊断的重要性.
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