论文部分内容阅读
纵隔型结节病在肺结节病中属少见类型,临床常易误诊为中心型肺癌、纵隔肿瘤以及纵隔肺门淋巴结结核,兹将我院经病理证实的5例简述如下。本组病例的临床症状轻微,4例有胸闷、干咳,1例几无任何症状。4例锁骨上淋巴结肿大。X线特征:上纵隔明显增宽,右侧为著,边缘不规则呈分叶状或波浪状,4例同时伴有两侧肺门淋巴结轻度肿大,1例肺内有小结节病灶。结核菌素试验1:2000阴性。
The sagittal type of sarcoidosis is a rare type in pulmonary sarcoidosis. Clinically it is often misdiagnosed as central type lung cancer, mediastinal tumor, and mediastinal hilar lymph node tuberculosis. The five cases confirmed by pathology in our hospital are briefly described below. The clinical symptoms of this group were mild, 4 cases had chest tightness, dry cough, and 1 had few symptoms. 4 cases of supraclavicular lymph node enlargement. X-ray features: significantly widened mediastinum, right side, irregular lobulated or wavy edge, 4 cases with mild enlargement of hilar lymph nodes on both sides, and 1 case of small nodular lesions in the lung . Tuberculin test 1: 2000 negative.