Differential diagnosis of tuberculous and hamartomas of the lungs

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Abstract

Based on observations of 400 patients with tuberculomas and 26 with pulmonary hamartomas, some differential diagnostic signs characteristic of these diseases were determined. The leading role in their recognition belongs to X-ray examination. In young people, tuberculin diagnostics is of a certain importance.

About the authors

V. S. Anastasiev

Kazan State Institute for Advanced Training of Physicians named after V.I.Lenin

Author for correspondence.
Email: info@eco-vector.com

Department of Phthisiology

Russian Federation

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2. Figure 1. Fragment of a tomogram of patient S. Tuberculoma in the axillary subsegment of the right lung. Localization is not typical for secondary tuberculosis, however, petrification in the center, deformation of the pulmonary pattern with single foci around and calcified regional lymph nodes facilitate diagnosis.

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3. Figure 2. Fragment of the tomogram of the patient J. Hamartom in the 7th segment of the right lung. The nature of calcification (conglomerative-lumpy) is typical for hamartoma, and the absence of petrification in regional lymph nodes makes it possible to practically exclude tuberculosis.

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