We retrospectively analyzed a rare case of giant pleural tuberculoma. The patient was a female, 62 years old, admitted to hospital for intermittent fever and hemoptysis. The CT scan of the chest and abdomen showed a mass in the right thoracic cavity, and the uneven surface of the bilateral fallopian tubes. Routine blood tests showed a decrease in platelets, white blood cells, and hemoglobin. The mass in the chest was finally confirmed as a tuberculoma by biopsy. The patient was diagnosed with tuberculosis more than 9 years ago and had been treated with anti-tuberculosis drugs for more than 9 years, which caused damage to the liver, bone marrow and other organs, and led to the drug-resistant tuberculosis, making diagnosis and treatment more complex.
本文介绍了1例罕见巨型胸膜结核瘤的病例。患者女，62岁，因间断发热伴咯血入院，胸腹部CT可见右侧胸腔内巨大占位，双侧输卵管表面不平，实验室检查提示血小板、白细胞、血红蛋白减低。胸腔内的占位最终通过活检证实为结核瘤。患者入院前患肺结核，曾自行三联抗结核9年余，造成了肝脏、骨髓等脏器受损，且导致耐药结核产生，为诊治增加了复杂性。.