【每周一例】27期讨论记录-教你快速识别淋巴瘤
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肺部影像联盟是最全面的肺部影像与病理结合的学习平台,这里可以每天学习到大师们的经典分析思路,也是你工作、学习最好助手和基地,联盟将会从每周三轮值病例中精选病例提前供大家实战训练,每周三晚上八点肺部影像群里准时讨论及资深老师分析点评,希望关注的老师们都有所收获,也欢迎您提供病例一起学习分享,感谢大家一直以来的关注与支持,不对之处恳请批评指正!
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公众号老师精彩留言
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微信群老师精彩留言
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南边老师精彩点评
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答案揭晓
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本例点评
1.病程长达半年之久,病情变化明显,抗炎平喘治疗无效。
2.双肺多发斑片分布影,病变位于肺间质。病灶密度均一,支气管通畅且可见扩张,小叶间隔增厚明显。没有肺门分布优势,没有重力分布趋势,下肺叶相对浅淡。
3.这种斑片影如果长时间没有吸收或变化,没有此起彼伏,进展缓慢,加之多处淋巴结肿大,都应当怀疑到淋巴瘤或腺癌等,而排除肺水肿或其他炎性病变。
4.如果鉴别肺水肿,应当留意患者是否存在心肾疾患,尤其是左心功能不全。
5.乳酸脱氢酶(LDH)的增高见于多种疾病,在淋巴瘤的诊断中并无特异性,但有助于患者预后的评估。
编辑:王晓娟、严正平
审核:徐 晓
感谢病例提供人:新疆自治区职业病医院呼吸科黄超老师
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