炎性成肌纤维细胞瘤并发结核分枝杆菌潜伏感染一例——文献复习及临床诊疗过程分析

炎性成肌纤维细胞瘤在临床上较为罕见,临床诊断困难,在结核相关检查结果为阳性时,容易误诊为结核病。作者结合相关文献回顾分析了山东大学附属山东省胸科医院收治的1例恶性炎性成肌纤维细胞瘤并发结核分枝杆菌潜伏感染患者的临床资料,指出如果抗结核、抗炎治疗疗效不佳时,应考虑到少见的低度恶性肿瘤的可能;应采取多次多点活检病理检查,必要时请多家医院进行病理会诊,以尽早明确诊断。

Inflammatory myofibroblastic tumor complicated by latent tuberculosis infection: a case report and review of the literature

Inflammatory myofibroblastic tumor (IMT) is a clinically rare neoplasm and its clinical diagnosis is difficult. It may be misdiagnosed as tuberculosis when the result of test for Mycobacterium tuberculosis infection is positive. The authors analyzed the clinical data of a case of malignant IMT complicated by latent tuberculosis infection in Shandong Provincial Chest Hospital Affiliated to Shandong University, and reviewed the related literatures. We pointed out that the possibility of rare low-grade tumor should be taken into account when no effect was achieved after anti-tuberculosis therapy. In order to obtain the correct diagnosis as soon as possible, it is necessary to perform multiple pathological examinations of different sites, and be prepared to seek pathology consultation from multiple hospitals.