TYPES OF TUBERCULOMAS:

1.Caseoma.

2.infiltrative-pneumonic.

3.true - formed from infiltrates and foci: solitary homogeneous; conglomerate homogeneous; solitary layered; conglomerate.

4.False tuberculoma (pseudotuberculoma).

CLINICAL COURSE

TUBERCULEM:

1.Stationary - characterized by the absence of perifocal infiltration and signs of decay in the tuberculoma. In the surrounding pneumofibrosis and dense foci are observed.

2.Regressive - caseous masses thicken and fragment, the size of The size of tuberculoma decreases, it gradually it gradually becomes impregnated with calcium salts → a dense fibrous nidus or a zone of limited pneumofibrosis, or small thin-walled cavity (in case of almost almost complete rejection of caseous masses).

3.Progressive

CLINIC OF TUBERCULOMA:

1.Asymptomatic, often inapperceptive, chronic course.

2. At exacerbation: weakness, decreased appetite, weight loss, sometimes increase in body temperature to 37.5 - 37.8ºC, chest pains, cough (dry or with a small amount of sputum), hemoptysis.

RADIOLOGICAL

CHARACTERISTICS:

1.Limited (focal) darkening, more often located subpleural, in the 1st, 2nd, or 6thsegments. The contours are usually clear. In the surrounding tissue are few polymorphic foci and pneumofibrosis.

2.A distinction is made between small (up to 2 cm in diameter), medium (with a diameter of 2 - 4 cm) and large (with a diameter greater than 4 cm) There are small (up to 2 - 4 cm in diameter) and large (with a diameter of 4 cm) tuberculomas, which may be solitary or multiple.

3.Solitary tuberculoma is a round, regular shape of the darkening.

4.Conglomerate tuberculoma - irregular shape and polycyclic outer contour.

5.In tuberculoma progression - blurred contours (perifocal infiltration), a "track" to the root of the lung in the form of perivascular and peribronchial thickening with foci of insemination in the surrounding lung tissue.

X-RAY DIAGNOSIS:

A tuberculoma of the lung corresponds to Radiological syndrome of round (oval) shadow:

●The shape of the shadow is round (oval).

●The size of the shadow is more than 1 cm in diameter. ●The contours of the shadow are clear.

●The structure of the shadow is heterogeneous, a sickle- like shape may be detected in the focus. Sickle-shaped lucidity due to decay, sometimes - local inflammation and a small number of bronchogenic foci.

●The intensity is high.