原发型肺结核好发于儿童及青少年，在成年人中发病极少见，我科曾遇见１例，误诊为恶性肿瘤，现报告如下。患者女，４４岁。无明显原因出现左颈部肿块，无疼痛，抗炎治疗后肿块稍有缩小，近来肿块逐渐增大，伴声嘶及吞咽困难，偶有干咳，无咯血及胸痛，既往无肺结核和血吸... Primary pulmonary tuberculosis occur in children and adolescents, the incidence of rare in adults, our department had met 1 case, misdiagnosed as malignant tumors, are as follows. Female patient, 44 years old. No obvious cause of left neck mass, no pain, anti-inflammatory treatment of the tumor slightly reduced, the recent mass gradually increased, accompanied by hoarseness and difficulty swallowing, occasional dry cough, no hemoptysis and chest pain, no previous tuberculosis and blood-sucking. ..