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Case Reports Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases. 2025 Jun 12;48(6):548-551. doi: 10.3760/cma.j.cn112147-20241203-00717

[A case of pulmonary nodules and cysts associated with hypereosinophilia]

[与高嗜酸性粒细胞相关的肺结节和肺囊肿病例] 翻译改进

Article in Chinese

D M Zhang  1, X K Feng  1, L Zhang  2, X L Diao  3, B You  4, N Chen  5, S Zhang  1, Q H Fang  1

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作者单位

  • 1 Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China.
  • 2 Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
  • 3 Department of Pathology, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China.
  • 4 Department of Thoracic Surgery, Beijing Chao-yang Hospital, Capital Medical University, Beijing 100020, China.
  • 5 Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

    • DOI: 10.3760/cma.j.cn112147-20241203-00717 PMID: 40491144

    摘要 中英对照阅读

    A 56-year-old male patient presented with an 18-year history of pulmonary opacities and a 9-year history of hypereosinophilia. The patient was asymptomatic. Bronchoscopy was negative for pathogens. Serial chest radiographs showed stable lung lesions. Nine years ago, an elevated blood eosinophil count [(0.5-1.5)×109/L] was noted. A chest computed tomography (CT) scan showed multiple nodules and cysts in bilateral lungs, which were not investigated further.... ...点击完成人机验证后继续浏览

    一位56岁男性患者因“发现肺部阴影18年、血嗜酸性粒细胞升高9年”就诊。患者在18年前体检时X线胸片显示肺部阴影，无明显不适症状，气管镜检查病原学阴性，遂定期随访。9年前发现血嗜酸性粒细胞升高［（0.5~1.5）×109/L］，患者无鼻塞、咳嗽、皮疹、腹泻等不适，胸部CT可见双肺多发结节及囊泡影，仍未干预。入院前2周复查胸部CT显示肺部结节及囊泡增大、增多。入院后行气管镜检查阴性，外科胸腔镜活检诊断为Castleman病。

    此病例强调了全面临床评估和多学科协作在诊断罕见肺部表现中的重要性。

    （注意：@原文献中提及的“multicentric Castleman disease”是指多中心型卡斯特曼病。）

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