Pleural tuberculoma symptoms?

summary

It has been reported that pleural tuberculoma accounts for more than 10% of pleural tuberculosis. There are two views on the formation mechanism of tuberculous granulation. Some scholars believe that it is caseous necrosis and dryness of tuberculous granulation tissue on pleura, which results in localized fibrous encapsulation. Other scholars believe that tuberculous pleurisy in the pleural effusion absorption process to form a package, after further concentration to form a spherical lesion wrapped by fibrous tissue, is one of the outcomes of tuberculous pleurisy. Pleural tuberculoma symptoms? Let's talk about it

Pleural tuberculoma symptoms?

Young patients accounted for 90.0% (28 / 31); 2.61.3% (19 / 31) had definite history of pleural effusion; The X-ray findings were mainly single ball shaped shadows in the middle and lower chest, which could also be lumpy. The density of spherical shadow was uniform and the edge was clear in patients with history > 6 months. The lateral edge of lesion was fuzzy and the density was light in patients with short history.

Pleural thickening and calcification were found in most cases. 5. The tangential film and CT showed that the lesion was close to the lateral chest wall and the external angle was obtuse. Fluoroscopy showed that the spherical lesions moved up and down with deep breathing. 7. The location of the lesion was superficial, 3-4cm away from the chest wall.

In a word, the diagnosis of tuberculoma of pleura is not difficult because of the tangent position film, CT, fluoroscopy, complete history and the evolution of the disease. Most of the misdiagnosed cases in this paper were based on the anteroposterior and lateral radiographs, without chest X-ray or tangential radiographs, so the location of the lesions was not accurate, and the extrapulmonary lesions were mistaken for intrapulmonary lesions. In addition, we should pay attention to the differential diagnosis with round atelectasis and localized pleural mesothelioma in clinical work

matters needing attention

After the symptoms of tuberculous conjunctivitis complicated with tuberculous ball symptoms, patients must be timely and effective treatment. Once the treatment is not timely or recurrent disease, it will lead to more serious disease. Smear positive TB patients are the main source of infection. Early detection and reasonable treatment of smear positive TB patients are the fundamental measures to prevent TB.