CAJ | 학술논문

回顾性分析经病理证实的4例肺隐球菌病CT表现,并进行文献复习.4例中单叶单发病变1例,单叶多发病变2例,多叶多发病变1例;中央型病灶1例,周围型病灶3例;均有不规则结节或团块型病灶,直径3～75 mm;病灶缘均有"晕征",1例有空洞灶.增强病灶呈明显强化,3例均匀强化,1例中心有坏死.2例手术切除,2例抗真菌治疗后病灶吸收.提示肺隐球菌病的CT表现多样,胸膜下多发不规则形病灶及伴有周围"晕征"明显强化要考虑肺隐球菌病可能.
회고성분석경병리증실적4례폐은구균병CT표현,병진행문헌복습.4례중단협단발병변1례,단협다발병변2례,다협다발병변1례;중앙형병조1례,주위형병조3례;균유불규칙결절혹단괴형병조,직경3～75 mm;병조연균유"훈정",1례유공동조.증강병조정명현강화,3례균균강화,1례중심유배사.2례수술절제,2례항진균치료후병조흡수.제시폐은구균병적CT표현다양,흉막하다발불규칙형병조급반유주위"훈정"명현강화요고필폐은구균병가능.
The X-ray computed tomography (CT) appearance of 4 cases with pulmonary cryptococcosis (PC) diagnosed by pathological examination in our hospital was retrospectively analyzed. The appearances of PC on CT were various: solitary lesion in 1 case, multiple lesions in single lobe in 2, and multiple lesions in multiple lobes in 1. There were total 52 lesions in 4 cases; the diameter of nodules or masses was 3 - 75 mm. Cavitations were found in 1 case; lesions appeared obviously enhanced and one lesion showed central necrosis. Two cases underwent pulmonary lobectomy; and 2 cases received core cutting needle biopsies, after antifungal therapy for 3 months to 1 year the lesions showed being absorbed. In summary, the CT appearance of PC is non-specific with various modes and forms. PC should be considered when multiple nodules or masses scattered in subpleural zone, accompanied with ground-glass opacity and obviously enhanced. The examination of pathogen and pathology at the beginning is crucial for improving diagnostic accuracy.