肺炎性假瘤(附18例报告)

Pulmonary Inflammatory Pseudotumor

报告18例肺炎性假瘤,其中男11例,女7例。平均年龄46岁。所有病例均经肺切除手术,炎性假瘤直径1.2～13cm,占因肺肿瘤而手术病例的8.6％。16例于术前进行过支气管纤维镜检查,3例有段支气管狭窄,1例外压性支气管闭锁,2例病变突入支气管内。病理报告,纤维组织细胞型11例(64.7％),浆细胞型5例(29.5％),假性淋巴瘤型1例(5.8％)。

Eighteen cases of inflammatory pseudotumor arising in the lung are reported. There were 11 males and 7 females. This accounted for 8.6% of resected lung tumors at authors' department. Age ranged from 20 to 66yrs, with a medium of 46yrs. All patients were treated by surgical operation. Tumor size varied from 1.2cm up to 13cm in diameter. Of 16 patients who underwent fiberobronchoscopic exam, 3 had segmental bronchiostenosis, I had extrinsic bronchial obliteration, and 2 showed a mass protrusion into bronchus. Pathologically 11(64.7%) were classified as fibrohistiocytic type, 5(29.5%) plasmocytic granuloma type, and 1(5.8%) pseudolymphoma type.