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恶性淋巴瘤误诊结核病的临床和病理分析
引用本文:朱琦,张炎林. 恶性淋巴瘤误诊结核病的临床和病理分析[J]. 临床肺科杂志, 2006, 11(6): 763-764
作者姓名:朱琦  张炎林
作者单位:430030,湖北省武汉市结核病防治所;430030,湖北省武汉市结核病防治所
摘    要:目的探讨结核病与淋巴瘤的临床病理特征及误诊原因。方法回顾分析1990~2006年42例确诊恶性淋巴瘤的临床特征、影像学特点、病理特征、诊断和治疗。结果其临床特征无特异性,其影像学特点是肿块结节样病变14例,弥漫性病变7例,肺门增大21例,胸腔积液18例。结论因二者临床表现和影像学特点相似,相互间容易误诊,确诊取决于病理结果和免疫组织化学。

关 键 词:淋巴瘤/结核病  临床特征  影像学  病理
收稿时间:2006-04-17
修稿时间:2006-04-17

The clinical and pathologic analysis of malignant lymphoma similar to tuberculosis
ZHU Qi,ZHANG Yanlin. The clinical and pathologic analysis of malignant lymphoma similar to tuberculosis[J]. Journal of Clinical Pulmonary Medicine, 2006, 11(6): 763-764
Authors:ZHU Qi  ZHANG Yanlin
Affiliation:Wuhan Pulmonary Hospital, Wuhan Tuberculosis Control Center, Hubei 430030, China
Abstract:Objective To study the clinical and pathologic characteristics of malignant lymphoma misdiagnosed tuberculosis.Methods Forty two case of diagnosed malignant lymphoma form 1990 to 2006 were retrospectively analyzed.Results Its clinical behavior were lack of typical.Its X-ray features were bump nade lesions(14cases),diffuse lesions(7cases),hilar lymphadenopathy(21cases),pleural effusion(18 cases).Conclusion It is similar to clinical and pathologic manifestations,X-ray features between malignant lymphoma and tuberculosis.Misdiagnosis is common.Appropriate invasive biopsy procedures are necessary for early diagnosis.
Keywords:malignant lymphoma/pulmonary tuberculosis clinical character X-ray features pathognesis features
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