论著-头颈部
肺组织胞浆菌病的影像表现特征与鉴别
作者:吴 颖1 李国红2 吴政光2
所属单位:1.广东财经大学门诊部 (广东 广州 510000)2.广东省第二人民医院放射科 (广东 广州 510317)
PDF摘要
目的 研究肺组织胞浆菌病的影像表现特征,提高影像诊断与鉴别诊断水平。方法 总结经病理组织检查肺组织胞浆 菌病5例,分析其影像表现与病理组织关系。结果 5例中,病变呈单发或多发结节且结节中心钙化2例,单发结节呈 典型靶征,多发的中心钙化结节聚集表现为霰弹征;伴肺门纵隔淋巴结钙化2例;支气管结石1例,肺炎症型2例; 粟粒样阴影1例。结论 肺组织胞浆菌病有较特征性的影像表现,结合临床资料可作出明确的诊断。
Objective Investigating the imaging features of Histoplamosis of Lung, to make certain the diagnoses and differential diagnosis points. Methods All imaging data of 5 patients of Histoplamosis of Lung confirmed by pathology were retrospectively analyzed. Results Among the 5 cases, 2 cases showed solitary or diffuse nodule and calcification been seen in the center, solitary nodule showed typical target sign, multiple nodules which calcification been seen in the center aggregated signs of loose bullet. 2 cases had hilar and mediastinum lymph nodes calcification. Broncholithiasis was been found in 1 case, multiple pulmonary consolidation was been seen in 1 case;miliaryshadow was been found in 1 case. Conclusion The imaging features of Histoplamosis of Lung are special,refer to the clinical features could make the diagnosis.
【关键词】组织胞浆菌;肺;影像表现
【中图分类号】R322.3+5
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.03.009
前言
肺组织胞浆菌是少见的深部真菌病。近年来由于 AIDS和其他原因所致免疫损害宿主的不断增加,肺组 织胞浆菌病时有报告,但大多数以临床病理分析或个 案报告为主,特征性的影像表现报告不多,本文收集 经病理组织检查确诊的肺组织胞浆菌病5例,总结分 析其影像表现特征,供同行参考,以提高对该病的影 像诊断水平。
罕少疾病杂志
第25卷, 第 3 期
2019年11月
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