淋巴管状腺症一直保持沉默,直到呈现巨大的腹部质量模仿恶性瘤:一个病例报告
1Department of Pathology, Tribhuvan University Teaching Hospital (TUTH)/Maharajgunj Medical Campus (MMC), Kathmandu, Nepal.
ASM case reports
|November 17, 2025
概括
淋巴状病 (LF),一种寄生性疾病,可以呈现为腹部质量,模仿癌症. 在这种情况下,早期诊断和用二甲基碳氨酸治疗导致了显著的改善.
科学领域:
- 热带医学是一种热带医学.
- 寄生虫学的寄生虫学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 淋巴状病 (LF) 是热带和亚热带地区流行的一种蚊子传播的被忽视的热带疾病.
- 由线寄生虫引起的肺炎通常在长时间内保持无症状.
- 尼泊尔是LF流行的国家之一.
研究的目的:
- 报告一个不寻常的LF病例,呈现为一个大的腹部质量.
- 为了突出LF模仿恶性瘤的诊断挑战.
- 强调在腹部质量的差异诊断中考虑LF的重要性.
主要方法:
- 一个50岁的男性的病例报告显示有明显的腹部质量.
- 诊断成像 (CT扫描) 来评估质量.
- 囊液的细胞病理学,生物化学和微生物学分析.
- 用二甲基碳氨酸治疗.
主要成果:
- 脑电图扫描显示出一个巨大的半肠囊性质 (23×15厘米),最初怀疑是恶性的.
- 囊液的细胞病理学检查发现了类似于*Wuchereria bancrofti*的微细菌幼虫,证实了LF.
- 微生物学研究证实了被覆盖的微细菌幼虫的存在.
- 患者在二甲基碳氨酸治疗后显示出显著的临床改善.
结论:
- 肺炎可以异常呈现,腹部质量模仿恶性瘤.
- 在腹部质量的差异诊断中,应考虑像LF这样的寄生虫感染,特别是在特有地区.
- 及时诊断和适当的抗寄生虫治疗对于LF病例的良好结果至关重要.
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