Endobronchial actinomycosis simulating bronchogenic carcinoma. Diagnosis by bronchial biopsy.
Endobronchial actinomycosis simulating bronchogenic carcinoma. Diagnosis by bronchial biopsy.
复制标题
支气管内放线菌病模拟支气管癌。
DOI：
10.1378/chest.99.2.493
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发表时间：
1991
期刊：
影响因子：
9.6
通讯作者：
E. Rosenmann
中科院分区：
文献类型：
--
作者：
I. Ariel;R. Breuer;N. S. Kamal;I. Ben;P. Mogel;E. Rosenmann
本文报告5例主支气管或气管放线菌病，临床提示支气管源性癌。在4例患者中，正确的诊断是通过支气管活检或清洗，或两者兼而有之。其中三人在抗生素治疗后康复，一人在支气管镜检查后几天死亡。1例肺叶切除标本诊断为肺部放线菌病后，在支气管冲洗中回顾性发现放线菌。其中一名患者并发支气管内脂肪瘤。肺部放线菌病的支气管活检诊断可能节省病人的主要手术干预。
Five cases of actinomycosis of the main bronchi or trachea which were suggestive clinically of bronchogenic carcinoma are described. In four patients the correct diagnosis was made by a bronchial biopsy or wash, or both. Three of them recovered following antibiotic treatment, and one died a few days after bronchoscopy. In one case the Actinomyces were found in the bronchial wash retrospectively following diagnosis of pulmonary actinomycosis in the lobectomy specimen. A concomitant endobronchial lipoma was found in one of the patients. The diagnosis of pulmonary actinomycosis by bronchial biopsy may save the patient major surgical intervention.