The Clinical Investigation of So-Called "Pleural Tuberculoma" in the Last 3 Years.

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  • 当院における過去３年間の胸膜結核腫の臨床的検討

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Abstract

We have investigated on the clinical features of pleural nodular lesions which haveappeared during chemotherapy of tuberculous pleurisy.<BR>Such lesions were observed in more than 10% of the cases of tuberculous pleurisy.<BR>This type of lesion occurred more frequently in the pleurisy patients whose chest X-raydid not show any tuberculous lesion in lung field and whose sputum was negative of tuberclebacilli. Most of the patients with such lesion were young.<BR>From these results, it was suggested that such lesion might develop during the courseof primary tuberculosis. Single nodular lesion was more common but multiple nodularlesions were not rare. They had occurred in 2-4 months after the start of anti-tuberculouschemotherapy including RFP, usually accompanied with chest pain. They had disappearedwithin 6-12 months without any additional therapy. In summary, pleural nodular lesions, which occurred during chemotherapy of tuberculous pleurisy, were not rare, but the clinicalcourse and prognosis of such lesion were favourable and improved without any additionaltherapy. The etiology of such lesion has remained to be clarified.

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