CME
Der kavernierende Lungenrundherd – Differenzialdiagnose und Abklärungsstrategie
Abstract
Zusammenfassung. Ein kavernierender oder kavitierender Lungenrundherd bzw. eine Lungenkaverne ist die Manifestation einer grossen Bandbreite von pathologischen Prozessen mit Befall der Lunge inklusive entzündlicher, infektiöser und maligner Ätiologien. Gleichzeitig kann das Vorhandensein einer Kaverne im klinischen Kontext helfen, die Differenzialdiagnosen und damit die weiteren Abklärungsschritte einzugrenzen. Wir werden im Folgenden einen Überblick über mögliche Diagnosen und die entsprechenden klinischen und radiologischen Zeichen kavernierender Lungenrundherde darlegen; ein besonderer Fokus wird dabei auf Vaskulitiden gelegt.
Abstract. Pulmonary cavities are the pathomorphological manifestation of several processes involving the lung including inflammatory, infectious and malignant etiologies. The presence of a cavity narrows the spectrum of differential diagnosis and, as such, focusses on the diagnostic evaluation. This review article provides an overview on the differential diagnosis of cavitary pulmonary diseases and their clinical and radiological signs. In this context, a special emphasis is put on vasculitis.
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