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題名 | 吞嚥困難為縱膈腔結核性淋巴結病變的另一表徵--病例報告=Dysphagia Presenting as a Manifestation of Mediastinal Tuberculous Lymphadenopathy: A Case Report |
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作 者 | 蔡光超; 許峻榮; | 書刊名 | 胸腔醫學 |
卷期 | 13:1 1998.03[民87.03] |
頁次 | 頁45-48 |
分類號 | 415.45 |
關鍵詞 | 肺結核; 吞嚥困難; 結核性淋巴結病變; 結核性食道炎; Tuberculosis; Dysphagia; Tuberculouslymphadenopathy; Tuberculous esophagitis; |
語文 | 中文(Chinese) |
中文摘要 | 縱膈腔結核性淋巴結病變合併食道炎並不常見,臨床上通常以吞嚥困難及疼痛來 表現,胸部x光及電腦斷層可以發現縱膈腔之異常,而食道的病變則常需藉著內視鏡來探查 。確定診斷有賴細菌學或組織學上耐酸性染色陽性,蘭罕氏巨細胞,或有乾酪性壞死的存在 ,治療仍以抗結核化學藥物為主,我們在此報告一位追縱診療的病例,對相關問題加以討論 ,並強調此種病變列為吞嚥困難的一項鑑別診斷。 |
英文摘要 | Esophageal lesion with or without mediastinal lymphadenopathy caused by mycobacterium tuberculosis is a very rare condition. Clinically, it presents as dysphagia and/or by odynophagia, The mediastinal abnormality is usually discovered by chest radiography or CT scan. Pan-endoscopy of upper gastro- intestinal tract is helpful to take a close-up observation and by the way, to take biopsy. Definite diagnosis depends on the pathological evidence of caseous necrosis and/or finding of acid fast bacillus in the specimen. It is usually well responded to anti-tuberculosis chemotherapy. The reported case was successfully diagnosed and treated. Finally, we conclude that tuberculous mediastinal lymphadenopathy should be considered as a differential diagnosis on managing the problem of dysphagia or odynophagia, especially in the era of increased prevalence of tuberculosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。