CAJ | 학술논문

目的分析原发性肺隐球菌病肿块、结节型的CT表现，并与肺部恶性肿瘤鉴别，以提高对本病的认识。方法回顾性分析2例经病理证实的肿块、结节型肺隐球菌病患者的CT表现，结合文献总结原发性肺隐球菌病的CT表现。结果2例患者中均无基础疾病，1例临床表现为畏冷、发热伴咽痛、咳嗽，1例无明显症状。CT表现为单发结节型1例，结节、肿块混合型1例。经手术切除病理证实1例，肺穿刺活检证实1例。结论<br>　　原发性肺隐球菌病的CT表现缺乏特异性，尤其是肿块、结节型，容易误诊为肺部恶性肿瘤，确诊主要依赖病理学检查。
목적분석원발성폐은구균병종괴、결절형적CT표현，병여폐부악성종류감별，이제고대본병적인식。방법회고성분석2례경병리증실적종괴、결절형폐은구균병환자적CT표현，결합문헌총결원발성폐은구균병적CT표현。결과2례환자중균무기출질병，1례림상표현위외랭、발열반인통、해수，1례무명현증상。CT표현위단발결절형1례，결절、종괴혼합형1례。경수술절제병리증실1례，폐천자활검증실1례。결론<br>　　원발성폐은구균병적CT표현결핍특이성，우기시종괴、결절형，용역오진위폐부악성종류，학진주요의뢰병이학검사。
Objective To analyze the CT findings of mass and (or)nodule of primary pulmonary cryptococcosis (PPC),and differentiation from malignant tumor of pulmonary in order to improve the identification of this disease. Methods The CT manifestations of 2 cases with mass and(or) nodule of PPC proved by pathology were retrospectively analyzed,and the literature was reviewed to study imaging findings of PPC. Results 2 cases of PPC were juvenscence without fundamental disease. The patient of case 1 had mild cough and fever,the other was entirely symptom free. The CT manifestations included solitary nodule in 1 case,multiple pulmonary masses or nodules in 1 case.1 case was confirmed by operation and pathology,the other by lung biopsy. Conclusion The CT findings of PPC are not specific, especially mass, nodules, easily misdiagnosed as lung malignant tumor. The confirmed diagnosis of PPC mainly depended on the pathological examination.