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原发性腺样体结核并不常见。Crowe(1917)在常规病检1000例扁桃体及腺样体手术摘除标本中本病仅有14例。本文报告经病理确诊的原发性腺样体结核18例,男性3例,女性15例,年龄自1～20岁。2例病变在粘膜下,16例病灶在深层(6例在滤泡内或滤泡间均为分散型;另10例则为融合型)。除2例滤泡内病变可能系通过滤泡血管引起的继发性结核感染外,其余16例从组织学上看似均为原发性结核病变。全部病例都有双侧颈后三角颈淋巴结肿大,其中有2例有瘢疤,1例有瘘管。而鼻咽镜下肉眼观察除腺样体肥大及纤维化以外,均无特殊体征。说明本病颇似肺结核的原发综合征。腺样体原发灶可以钙化,硬结,却留下颈后三角区引流淋巴结的长期肿大。
Primary adenoid tuberculosis is uncommon. Crowe (1917) routine examination of disease in 1000 cases of adenotonsillectomy specimens only 14 cases of this disease. This article reports 18 cases of pathologically confirmed primary adenoid tuberculosis, 3 males and 15 females, aged from 1 to 20 years old. Two lesions were submucosal and 16 lesions were deep (6 in the follicles or both in the follicles and 5 in the other 10). In addition to 2 cases of follicular lesions may be caused by secondary follicular infections caused by follicular blood vessels, the remaining 16 cases from the histological seemingly primary tuberculosis. All cases had bilateral neck cervical lymph nodes, including 2 cases of scarring, 1 case of fistula. The naked eye under nasopharyngeal gland adenoid hypertrophy and fibrosis in addition, no special signs. This disease is similar to the primary pulmonary tuberculosis syndrome. Adenoid primary tumor can calcification, induration, but left the long-term enlargement of the drainage area of the posterior trigone.