摘要
本文报告我院自1981年1月至1997年12月收治的24例经手术及病理证实的肺炎性假瘤。男性19例,女性5例。X线表现为:病变位右叶15例(上叶10例),左叶9例(下叶5例)。大多数病变位周边,园形或卵圆形(18例)。15例边缘清晰整齐,7例边缘模糊。密度中等12例,密度较高2例,密度稍淡3例。3例有厚壁空洞,点状钙化(1例),偶见浸润肿块、周边模糊的17例与周围组织粘连、8例有肺门淋巴结肿大、病理证实为炎性变化,手术所见大多数与放射所见一致。1例恶变为Hodgkin's病。本病易误诊为恶性或恶性肿瘤。
From January 1981 to December 1997,24 cases of inflammatory pseudotumor of the lungs were treated operatively and proven histologically. 19 cases were males and 5 females. X-ray examination revealed that the lesions were located in the right lung in 15 cases(10 in the upper lobe), and 9 in the left lung(5 in the lower lobe). Most of the lesions were in the peripheral region, round or oval in shape(18 cases). Fifteen cases showed clear cut border and 7 cases vague. The density of the shadow was medium in 12 cases, heavy in 2 cases and mild in 3 cases. Thick walled cavity (3 cases), spotted calcifications(1 case)or infiltrative mass (2 cases)were occasionaly seen. Seventeen cases with somewhat vague border were adhered to the surrounding tissue. Enlargement of the hilar lymph modes were noted in 8 cases, and were proved to be inflammatory changes pathologically. Operative findings were almost identical to roentgenolo-gy. One case traosformed malignant Hodgkin's disease. These lesions were readily misdiagnosed as malignant or benign tumors.
出处
《中国微创外科杂志》
CSCD
1999年第1期1-2,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
炎性假瘤
肺
X线
手术
癌变
Inflammatory Pseudotumor Lung Roentgenologic manifestation Surgery Canceration
