肺组织胞浆菌病的影像表现特征与鉴别  

Imaging Features and Differential Diagnosis of Histoplamosis of Lung

作　　者：吴颖 李国红 吴政光[2] WU Ying;LI Guo-hong;WU Zheng-guang(Clinic of Guangdong University of Finance＆Economics,Guangzhou 510000,Guangdong Province,China)

机构地区：[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

出　　处：《罕少疾病杂志》2018年第3期21-22,25,共3页Journal of Rare and Uncommon Diseases

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 calcifcation been seen in the center, solitary nodule showed typical target sign, multiple nodules which calcifcation been seen in the center aggregated signs of loose bullet. 2 cases had hilar and mediastinum lymph nodes calcifcation. 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 

分 类 号：R322.35[医药卫生—人体解剖和组织胚胎学]