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硬结病侵犯淋巴结的方式尚不清楚,临床上是罕见的,这可能由于肉芽肿周围纤维组织的形成引起硬结,加上硬结杆菌的位置是常在Mickulicz细胞内,不易使病菌经淋巴道播散有关。Badrawy & El-Schennawy(1974)曾报告过2例。作者等曾治疗1例男性患者,17岁。主要在两侧颈及颏下部均可触及无痛性淋巴结,尤以颈后三角及左颈部更为明显,伴有鼻中隔大穿孔及软腭小穿孔。自鼻腔取活检显示非特异性炎症,经颏下淋巴结切除病检证实为本病。经3个多月
The method of induration of lymph nodes by induroncosis is unclear and clinically rare. This may be due to the formation of induration in the formation of fibrous tissue around the granulomatosis. In addition, the location of hardenous bacilli is often found in Mickulicz cells, making it difficult to spread the bacteria through the lymphatic channels. related. Badrawy & El-Schennawy (1974) reported 2 cases. The authors had treated 1 male patient at the age of 17. Painless lymph nodes can be touched mainly on both necks and underarms, especially in the posterior triangle and left neck, with large perforation of nasal septum and perforation of soft palate. A biopsy taken from the nasal cavity revealed non-specific inflammation, confirmed by the axillary lymph node dissection. After more than 3 months