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本组8例纵隔肿瘤患儿误诊为肺门淋巴结结核5例,其中3例未接种过卡介苗,但OT试验阳性,有肺结核接触史,血沉快,并有不同程度的贫血。X线片示:一侧上纵隔及肺门处见边缘清楚、低密质不均半球形阴影2例;呈分叶状肿块阴影、边缘毛糙模糊,肿块侧肺纹理呈细网状增强3例,肿块直径2.0cm×1.5cm~3.0cm×2.5cm。均经短期抗生素或抗结核治疗2~6个月无效。其中3例颈内侧锁骨上1~4枚浅淋巴结无痛性肿大(1.5~2.5cm),淋巴结活检,病理证实为恶性淋巴瘤2例,何杰金氏病1例,另2例手术病理证实,肺门
The group of 8 cases of mediastinal tumor misdiagnosed as hilar lymph node tuberculosis in 5 cases, of which 3 cases were not vaccinated BCG, but OT test was positive, history of exposure to tuberculosis, ESR, and have different degrees of anemia. X-ray showed: one side of the mediastinum and hilar see edge clear, low-density uneven hemispherical shadows in 2 cases; lobulated mass shadow, the edge of the rough fuzzy, mass side of the lung mass was fine mesh-like enhancement in 3 cases , Mass diameter 2.0cm × 1.5cm ~ 3.0cm × 2.5cm. Are short-term antibiotics or anti-TB treatment of 2 to 6 months is invalid. Among them, 1 to 4 superficial lymph nodes were painlessly enlarged (1.5-2.5cm) in 3 cases of cervical medial clavicle. Lymph node biopsy was confirmed in 2 cases. Malignant lymphoma was confirmed by pathology in 2 cases, Hodgkin’s disease in 1 case, and the other 2 cases were pathologically Confirmed, hilar