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Diagnóstico Diferencial

  • Diagnóstico más probable:
    • Neoplasia maligna: La presencia de nódulos mal definidos en la radiografía de tórax, focos de condensación masiforme en la tomografía computada, adenopatías cervicales, axilares y mediastínicas, y una masa adenopática prevascular prominente sugieren una neoplasia maligna, posiblemente un linfoma o un carcinoma pulmonar.
  • Otros diagnósticos probables:
    • Linfoma: Los hallazgos de adenopatías y la masa adenopática prevascular son consistentes con un trastorno linfoproliferativo, como un linfoma.
    • Carcinoma pulmonar: La presencia de nódulos y focos de condensación en el pulmón, junto con adenopatías, sugiere la posibilidad de un carcinoma pulmonar.
    • Tuberculosis: La tos seca y los hallazgos radiográficos podrían ser consistentes con tuberculosis, aunque la ausencia de otros síntomas y hallazgos típicos hace que sea menos probable.
  • No debes perder de vista (diagnósticos que no son tan probables, pero que serían mortales si se pierden):
    • Sarcoidosis: Aunque menos probable, la sarcoidosis puede presentarse con adenopatías y hallazgos pulmonares similares, y es importante considerarla en el diagnóstico diferencial.
    • Infecciones oportunistas: En pacientes inmunocomprometidos, infecciones como la tuberculosis, la histoplasmosis o la criptococosis pueden presentarse con hallazgos similares.
  • Diagnósticos raros:
    • Linfangioleiomiomatosis: Una enfermedad rara que puede presentarse con adenopatías y hallazgos pulmonares similares.
    • Histiocitosis de células de Langerhans: Una enfermedad rara que puede afectar el pulmón y presentarse con adenopatías y hallazgos radiográficos similares.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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