巨型胸膜结核瘤1例

A case of giant pleural tuberculoma

本文介绍了1例罕见巨型胸膜结核瘤的病例。患者女,62岁,因间断发热伴咯血入院,胸腹部CT可见右侧胸腔内巨大占位,双侧输卵管表面不平,实验室检查提示血小板、白细胞、血红蛋白减低。胸腔内的占位最终通过活检证实为结核瘤。患者入院前患肺结核,曾自行三联抗结核9年余,造成了肝脏、骨髓等脏器受损,且导致耐药结核产生,为诊治增加了复杂性。

We retrospectively analyzed a rare case of giant pleural tuberculoma.The patient was a female,62 years old,admitted to hospital for intermittent fever and hemoptysis.The CT scan of the chest and abdomen showed a mass in the right thoracic cavity,and the uneven surface of the bilateral fallopian tubes.Routine blood tests showed a decrease in platelets,white blood cells,and hemoglobin.The mass in the chest was finally confirmed as a tuberculoma by biopsy.The patient was diagnosed with tuberculosis more than 9 years ago and had been treated with anti-tuberculosis drugs for more than 9 years,which caused damage to the liver,bone marrow and other organs,and led to the drug-resistant tuberculosis,making diagnosis and treatment more complex.