肺炎性假瘤患者的临床病理分析

Clinical Pathological Analysis of Patients with Inflammatory Tumor of the Lung

目的 对肺炎性假瘤患者临床病理的分析与探讨。方法 2014年7月~2015年7月,从我院所收治的肺炎性假瘤患者中选取40例患者参与研究,对所选患者的临床资料进行临床病理分析。结果 17例患者的病理类型判断为机化肺炎型。其中有3例患者的镜下细胞观察中,可以看见较多的泡沫细胞、嗜酸细胞与多核巨细胞,有4例患者在镜下观察中发现有血管增生情况,由于患者的血管腔大小、薄厚不同导致形成血管瘤区域。有12例患者的病理类型判断为纤维组织细胞型。其中,有3例患者在镜下观察为无组织细胞,有1例患者在镜下观察发现纤维母细胞较多,而炎细胞较少,具有明显的海绵状假瘤区域,还有2例患者在镜下观察发现为硬化性血管瘤,剩余6例患者为假乳头状瘤区。有11例患者的病理类型判断为淋巴浆细胞型。其中,有4例患者在镜下发现病变主要是以成熟浆细胞为中心,在细胞浆中间形成芽肿,还带有少量的组织细胞与纤维母细胞。结论 在肺炎性假瘤患者中,男性患者比例高于女性患者,属于良性肿瘤,具有纤维母细胞增生、血管增生等病理特点。

Objective To discuss clinical pathological analysis of patients with inflammatory tumor of the lung.Methods From July 2014 to July 2015, 40 cases of patients with pneumonia in our hospital were selected to participate in the study. The clinical data of the selected patients were clinical pathology analyzed.Results The pathological types of 17 patients were judged to be Pneumonia type.3 cases of patients with microscopic observation could be seen more foam cells, eosinophils and multi nuclear giant cells; 4 cases in the observation of the microscope were seen vascular proliferation, the lumen size and thickness of different forms of hemangioma region. There were 12 cases of pathological types of patients were judged as fibrous tissue cell type. Among them, 3 patients were observed under microscopeno tissue cell,1 case with more fibroblasts and less inlfammatory cells, and the area of cavernous pseudo tumor was observed under the microscope.2 cases were found to be a hemangioma. The remaining 6 patients were in the pseudo papillary tumor region. 11 cases were judged to pathological types of lymph node cell type. Among them, 4 cases were found to be mainly in the form of mature plasma cell as the center, in the middle of the cell cytoplasm with a small amount of tissue cells and ifbroblasts. Conclusion In patients with pneumonia, the proportion of male patients is higher than that of female patients, which is a benign tumor, with pathological features such as ifbroblast proliferation and vascular proliferation.