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肺结节性淋巴细胞增生:审查一个肺癌模仿者

Gabriela Schneider Galvão¹, Jônatas Fávero Prietto Dos Santos¹, Ying-Han R Hsu²

¹Joint Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.

Lung Cancer (Auckland, N.Z.)

|December 17, 2025

概括

肺结节性淋巴细胞增生是一种罕见的肺部疾病,可以模仿癌症. 诊断需要组织病理学,但这种良性疾病可能会自发地消失,正如最近的一个案例所示.

科学领域:

肺部病理学肺部病理学
病理学病理学病理学
放射学放射学是一门学科.

背景情况:

肺结节性淋巴状增生症 (PNLH) 是一种罕见的良性淋巴增殖性疾病.
患者通常无症状,放射学发现包括外围结节或类似质量的巩固.
PNLH可以模仿更常见的肺部疾病,如肺癌和淋巴瘤,导致诊断延迟.

研究的目的:

在初始成像中呈现一个模仿肺癌的PNLH病例.
突出诊断方面的挑战和组织病理学确认的重要性.

主要方法:

一名66岁的妇女出现了肺癌可疑的症状和成像发现.
最初的活检没有确定恶性瘤,但表明淋巴增殖障碍.
进行了CT指导的跨甲状腺核心针活检,随后进行了免疫类型和组织病理学分析.

主要成果:

影像检查显示了肺部质量,扩大的淋巴结和磨砂玻璃结节,涉及恶性瘤.
活检排除了恶性瘤,但表明淋巴增殖障碍,导致PNLH的诊断.
随访成像显示,质量几乎完全分辨,这表明病情的良性.

结论:

PNLH是一种罕见的肺部疾病,通常是偶然发现的.
它的成像功能可能会被误认为是肺癌,强调需要多学科的诊断方法.
在对肺部质量的差异诊断中应考虑PNLH,即使怀疑有恶性病.

关键词:

胸部CT CT 胸部CT CT 胸部CT 胸部CT 差异诊断是一种差异诊断.肺癌是一种肺癌.肺结节性淋巴细胞增生症肺结节性淋巴细胞增生症

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