舌结核误诊1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2024.020

摘要/Abstract

摘要： 目的讨论罕见的舌结核的临床表现、诊断、治疗方法及漏诊原因,为耳鼻喉科医生提供临床借鉴和参考。方法回顾1例舌结核患者的临床资料,分析其临床特点及易被漏诊的原因。结果舌结核的临床表现不典型,全身症状少见,误诊率及漏诊率极高,确诊还需依靠病理学检查,治疗方面以规范的全身性抗结核药物治疗为首选。结论舌结核是一种罕见的很难诊断的疾病,且易被误诊为舌根恶性肿瘤,病理学检查和结核相关辅助检查有利于提高诊断率,且在早期鉴别诊断时我们必须加以考虑。

关键词: 结核, 舌, 溃疡, 肺外结核, 误诊, 漏诊

Abstract: Objective To discuss the clinical manifestations, diagnosis, treatment, and reasons for missed diagnosis of the extremely rare lingual tuberculosis to provide a clinical reference for otolaryngologists. Methods The clinical data of 1 case of with lingual tuberculosis were reviewed. We analyzed the clinical characteristics and the reasons why it was easily missed. Results The clinical manifestations of Lingual Tuberculosis are atypical, systemic symptoms are rare, the rate of misdiagnosis and underdiagnosis is extremely high, and the confirmation of the diagnosis still needs to rely on pathological examination. Regarding treament, systemic anti-tuberculosis agents are the mainstay of therapy. Conclusion Tuberculosis of the tongue is a rare and difficult disease to diagnose and is easily misdiagnosed as cancer of tongue base. Histopathology combined with tuberculosis-related ancillary tests could help improve the diagnostic yield and must be taken into account in our early differential diagnosis.

Key words: Tuberculosis, Tongue, Ulcer, Extrapulmonary tuberculosis, Misdiagnosis, Underdiagnosis

中图分类号:

R529.8

孙硕,苑铁君,陈尧,齐玲玲,韩荣荣. 舌结核误诊1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 138-143.

SUN Shuo, YUAN Tiejun, CHEN Yao, QI Lingling, HAN Rongrong. Misdiagnosis of lingual tuberculosis: a case report and literature veview[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 138-143.

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