我岳母最近做了一次胸部 X 线检查,结果被告知她的肺部有一个肉芽肿。这是一种什么疾病?
回答 Pritish K. Tosh, M.D.
肉芽肿是一种小范围的炎症,通常在由于其他原因进行 X 线或其他影像学检查时偶然发现。肉芽肿一般属于非癌性(良性),
常见于肺部,但也可能见于身体其他部位以及头部。肉芽肿像是一种防御机制,可触发身体“隔离”细菌或真菌等外敌,阻止它们传播。常见诱因包括一种叫做结节病的炎性疾病,以及组织胞浆菌病或结核病等感染问题。
没有症状的肉芽肿患者几乎不需要治疗,甚至不需要随访的影像学检查。
With
Pritish K. Tosh, M.D.
显示参考文献
- Ohshimo S, et al. Differential diagnosis of granulomatous lung disease: Clues and pitfalls. European Respiratory Review. http://err.ersjournals.com/content/26/145/170012. Accessed Sept. 7. 2018.
- Nwawka OK, et al. Granulomatous disease in the head and neck: Developing a differential diagnosis. RadioGraphics. 2014;34:1240.
- Mukhopadhyay S, et al. Causes of pulmonary granulomas: A retrospective study of 500 cases from seven countries. Journal of Clinical Pathology. 2012;65:51.
- AskMayoExpert. Pulmonary nodules. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- Orm IM, et al. The formation of the granuloma in tuberculosis infection. Seminars in Immunology. 2014;26:601.
- Mukhopadhyay S, et al. Pulmonary necrotizing granulomas of unknown cause. Chest. 2013;144:813.
- Information for healthcare professionals about histoplasmosis. Centers for Disease Control and Prevention. https://www.cdc.gov/fungal/diseases/histoplasmosis/health-professionals.html. Accessed Sept. 7, 2018.
Feb. 17, 2023Original article: https://www.mayoclinic.org/zh-hans/granuloma/expert-answers/faq-20057838