中国真菌学杂志Issue(2)：108-112,5.
类肿瘤样肺部真菌感染的 CT 征象分析
CT features of pulmonary fungal infection mimicking tumor
摘要
Abstract
Objective To evaluate the CT features of patients with pulmonary fungal infection mimicking thoracic tumor and to increase awareness for both clinicans and radiologists to avoid misdiagnosis.Methods The clinical and CT findingsfrom 53 patients with pulmonary fungal infection mimicking tumor were reviewed retrospectively.Results Of 53 patients with pulmonary fungal infec⁃tion,32 (60.4%) were cryptococcosis,21 (39.6%) were aspergillosis,29 (54.7%) were single lesion and 24 (45.3%) were multi⁃ple lesions.CT findings included nodules 30 (56.6%),mass 10 (18.9%),or both 13 (24.5%).The median lesion size was 2.5 cm (range 1.0⁃7.0 cm).The lesions were in 53 patients,32 (60.4%) were adjacent to the pleura,21 (39.6%) were in other places. There was no statistically significant difference in characteristics,shape,lobulation,spiculation,halo sign and other additional lesions such aspatchinvasiveinfection,miliary nodules,lyphadenopathy,pleural thickening and pleural effusion (P>0.05).There was statisti⁃cally significant difference in location ( χ 2 = 10.633),margin ( χ 2 = 4.828) and cavity ( χ 2 = 18.702)(P<0.05).Conclusion Cryp⁃tococcosis and aspergillosis were more common in pulmonary fungal infection mimicking tumor.The CT findings were characteristic in two different fungal infection.The differential diagnosis from pulmonary malignancy should combine CT findings with clinical.关键词
肺真菌感染/隐球菌属/曲霉菌属/CTKey words
Pulmonary fungal infection/Cryptococcosis/Aspergillosis/Computed tomography分类
医药卫生引用本文复制引用
周莹,范丽,杨振悦,李华,刘士远..类肿瘤样肺部真菌感染的 CT 征象分析[J].中国真菌学杂志,2015,(2):108-112,5.基金项目
国家自然科学基金 （）
