Mediastinal lymphadenopathy

Introduction In addition to a small number of primary mediastinal lymphoma or Hodgkin's disease, most of the mediastinal lymphadenopathy is secondary to other organ diseases.

Cause

It is caused by a mediastinal lymphoma.

an examination

Related inspection

Lung imaging pulmonary function test

1. The results of chest radiographs were negative. Enhanced CT showed enlarged lymph nodes after the right upper tracheal anterior vena cava. The density was uneven and there was a liquid dark area. The anterior wall of the right main bronchus has an annular-enhanced mass pressure protrusion, resulting in external right bronchial external pressure stenosis. A fiber strip is visible in the outer band of the upper right lobe. The right middle lobe lung texture has a limited gathering phenomenon.

2, blood routine erythrocyte sedimentation rate is fast, blood routine has a high white point.

Differential diagnosis

Differential diagnosis:

1, adult hilar and mediastinal lymph node tuberculosis lesions top, relatively isolated, may have irregular fever, night sweats, weight loss and other performance. Patients with liquefaction necrosis have strong responsiveness and may have pleural reaction and intrapulmonary infiltration.

2, lymphoma: more than a lot of lymph nodes in the body, often merged into a piece, not in line with the disease.

3, necrotizing lymphadenitis I have been treated and treated for a case of multiple lymph nodes, body temperature is mostly low or moderate fever. The mediastinal lymph nodes on the CT were slightly enlarged and the texture was relatively uniform.

4, bronchial cysts and infection: the tumor is located in the anterior wall of the right main bronchus, unless the infection is more serious, there is usually no mediastinal lymphadenopathy.

5, lung cancer: Most of the patients with liquefaction necrosis are squamous cell carcinoma, the tumor is much larger, and it can be smaller in the cavity.

6, sarcoidosis: how much better in women, may have lung infiltration, general condition is generally better.

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