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肺上皮样血管内皮瘤1例

Keywords: 血管内皮瘤,阵发性咳嗽,结核抗体阳性,磨玻璃样,乏力症状,肿大淋巴结,团片状,胸膜粘连,结节样,肺转移性癌

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Abstract:

1临床资料患者男,40岁,农民。因"阵发性咳嗽、气短、乏力2月余,加重伴发热10d"入院。患者2012年1月无明显诱因出现咳嗽、气短、呼吸不畅、乏力症状,咳嗽呈阵发性,夜间较重,咳少量白色黏痰,自行间断服抗生素治疗无效。3月5日上述症状加重,在外院行胸部CT检查(图1A,封4)双肺磨玻璃样影,双肺中叶见团片状、条索状、结节样密度增高影边缘模糊,邻近胸膜粘连,未见肿大淋巴结。实验室检查结核抗体阳性,结核杆菌PCR阴性,

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