Email Alert | RSS    帮助

中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (3): 330-337.doi: 10.3969/j.issn.1000-6621.2019.03.015

• 临床病例讨论 • 上一篇    下一篇

炎性成肌纤维细胞瘤并发结核分枝杆菌潜伏感染一例——文献复习及临床诊疗过程分析

赵彬1,迟晶宇2,王传庆3,侯代伦4,张运曾1,王成1,金锋1()   

  1. 1 250013 济南,山东大学附属山东省胸科医院胸外科
    2 250013 济南,山东大学附属山东省胸科医院结核内科
    3 250013 济南,山东大学附属山东省胸科医院骨科
    4 首都医科大学附属北京胸科医院影像科
  • 收稿日期:2018-10-21 出版日期:2019-03-10 发布日期:2019-03-15
  • 通信作者: 金锋 E-mail:2547875348@qq.com

Inflammatory myofibroblastic tumor complicated by latent tuberculosis infection: a case report and review of the literature

Bin ZHAO1,Jing-yu CHI2,Chuan-qing WANG3,Dai-lun HOU4,Yun-zeng ZHANG1,Cheng WANG1,Feng JIN1()   

  1. 1 Department of Thoracic Surgery, Shandong Provincial Chest Hospital Affiliated to Shandong University, Ji’nan 250013, China;
  • Received:2018-10-21 Online:2019-03-10 Published:2019-03-15
  • Contact: Feng JIN E-mail:2547875348@qq.com

摘要:

炎性成肌纤维细胞瘤在临床上较为罕见,临床诊断困难,在结核相关检查结果为阳性时,容易误诊为结核病。作者结合相关文献回顾分析了山东大学附属山东省胸科医院收治的1例恶性炎性成肌纤维细胞瘤并发结核分枝杆菌潜伏感染患者的临床资料,指出如果抗结核、抗炎治疗疗效不佳时,应考虑到少见的低度恶性肿瘤的可能;应采取多次多点活检病理检查,必要时请多家医院进行病理会诊,以尽早明确诊断。

关键词: 肿瘤, 肌组织, 结核, 脊柱, 潜伏性结核病, 结核, 肺, 总结性报告(主题)

Abstract:

Inflammatory myofibroblastic tumor (IMT) is a clinically rare neoplasm and its clinical diagnosis is difficult. It may be misdiagnosed as tuberculosis when the result of test for Mycobacterium tuberculosis infection is positive. The authors analyzed the clinical data of a case of malignant IMT complicated by latent tuberculosis infection in Shandong Provincial Chest Hospital Affiliated to Shandong University, and reviewed the related literatures. We pointed out that the possibility of rare low-grade tumor should be taken into account when no effect was achieved after anti-tuberculosis therapy. In order to obtain the correct diagnosis as soon as possible, it is necessary to perform multiple pathological examinations of different sites, and be prepared to seek pathology consultation from multiple hospitals.

Key words: Neoplasms, muscle tissue, Tuberculosis, spinal, Latent tuberculosis, Tuberculosis, pulmonary, Consensus development conferences as topic