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Korean J Thorac Cardiovasc Surg 1976; 9(2): 175-186

Published online June 1, 1976

Copyright © Journal of Chest Surgery.

A study on the roentgenologic and pathological characteristics of the pulmonary tuberculous lesions

조광현

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The cellular change of the pulmonary tuberculous lesions may be divided into two groups,exudative and proliferative form by their course and fate. In the most cases, the patients usually have very much complex type of cellular changes. Therefore, the shadows of the chest films in pulmonary tuberculosis are also much variable in nature. And Daniel said that knowledge of the pathology of tuberculosis and an appreciation of the method of progression and healing are essential to proper interpretation of the films. Author, having reviewed 33 cases of resected tuberculous lung obtained in N.M.T.H. for one year from Oct. `75 to Sep. `76 by surgical managements, classified the Pathological findings such as: 1] caseation only, 2] tuberculoma, 3] atelectatic lung 4] cavitary lesion and 5] atelectasis with cavity, and examined the relationship between the roentgenological characteristics of the chest films and the pathological process of tuberculous lesions of the resected lungs, The result were obtained as follows. [1] Tuberculoma was commonly appeared in S2 segment in right and S6 segment in left. [2] Atelectasis and destroyed lung were more commonly appeared in left lung than right, and their containing rate of cavity was 82%. [3] Cavities were mostly appeared in S1 and S2 segments of both lung and the appearance-rate of cavity on S6 segment was higher in left than right. And among the cavitary lesions of the resected lung, cavity was not seen in the preoperative chest films in 22%. [4] The configuration, thickness and sharpness of the walls of cavities, which revealed the cavitary shadows in the preoperative chest films, were mostly depended on the degree of increased collagenous fiber of the wall, existence of perifocalitis, and more or less of the caseous masses on the inner surface of the cavity wall.[KTCS 1976;2:175-186]

Article

Korean J Thorac Cardiovasc Surg 1976; 9(2): 175-186

Published online June 1, 1976

Copyright © Journal of Chest Surgery.

A study on the roentgenologic and pathological characteristics of the pulmonary tuberculous lesions

조광현

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The cellular change of the pulmonary tuberculous lesions may be divided into two groups,exudative and proliferative form by their course and fate. In the most cases, the patients usually have very much complex type of cellular changes. Therefore, the shadows of the chest films in pulmonary tuberculosis are also much variable in nature. And Daniel said that knowledge of the pathology of tuberculosis and an appreciation of the method of progression and healing are essential to proper interpretation of the films. Author, having reviewed 33 cases of resected tuberculous lung obtained in N.M.T.H. for one year from Oct. `75 to Sep. `76 by surgical managements, classified the Pathological findings such as: 1] caseation only, 2] tuberculoma, 3] atelectatic lung 4] cavitary lesion and 5] atelectasis with cavity, and examined the relationship between the roentgenological characteristics of the chest films and the pathological process of tuberculous lesions of the resected lungs, The result were obtained as follows. [1] Tuberculoma was commonly appeared in S2 segment in right and S6 segment in left. [2] Atelectasis and destroyed lung were more commonly appeared in left lung than right, and their containing rate of cavity was 82%. [3] Cavities were mostly appeared in S1 and S2 segments of both lung and the appearance-rate of cavity on S6 segment was higher in left than right. And among the cavitary lesions of the resected lung, cavity was not seen in the preoperative chest films in 22%. [4] The configuration, thickness and sharpness of the walls of cavities, which revealed the cavitary shadows in the preoperative chest films, were mostly depended on the degree of increased collagenous fiber of the wall, existence of perifocalitis, and more or less of the caseous masses on the inner surface of the cavity wall.[KTCS 1976;2:175-186]

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