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Some noticeable problems in the radiological diagnosis of thoracic sarcoidosis

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF RADIOLOGY
Issue:
4
DOI:
10.3760/j.issn:1005-1201.2003.04.003
Key Word:
结节病,肺;X线摄影术;体层摄影术,X线计算机

Abstract: 目的通过对胸部结节病误诊病例的回顾性分析,探讨结节病影像诊断存在的问题.方法复习32例误诊病例的影像,包括胸片和胸部CT及临床资料.病理证实9例,临床治疗证实23例.结果 32例均有胸部淋巴结增大,其中23例纵隔淋巴结及两侧肺门淋巴结增大,5例纵隔淋巴结及单侧肺门淋巴结增大,4例纵隔淋巴结增大而无肺门淋巴结增大.肺部病变有24例,其中19例为肺内多发结节,肺部斑片状影4例,肺内纤维化1例.胸膜病变3例,均伴肺内多发结节,其中2例胸腔积液,1例胸膜多发小结节.结论胸部结节病影像不典型时诊断困难,需结合临床或治疗中动态观察确诊.

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