首都医科大学学报 ›› 1986, Vol. 7 ›› Issue (4): 279-281,335.

• 论著 • 上一篇    下一篇

肺炎性假瘤32例临床分析

叶当时1, 仇欣荪2   

  1. 1. 中日友好医院呼吸内科;2. 北京天坛医院胸外科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1986-10-15 发布日期:1986-10-15

Inflammatory Pseudotumors of the Lung:Clinical Analysis of 32 Cases

Ye Dangshi1, Qiu Xinsun2   

  1. 1. Beijing Sino-Japanese Hospital;2. Beijing Tian-Tan Hospital
  • Received:1900-01-01 Revised:1900-01-01 Online:1986-10-15 Published:1986-10-15

摘要:

本文报道肺炎性假瘤32例:硬化性血管瘤型17例,浆细胞肉芽肿型1例及组织细胞型等14例。误诊率术前为93.8%,术中为87.5%,冰冻切片确诊率为23.1%。误诊3个月以上25例(78%),最长达12年。着重讨论了误诊原因,本病的诊断及其与结核瘤、肺癌、支气管腺瘤、错构瘤及局限性胸膜间皮瘤的鉴别要点。

Abstract:

In this paper 32 cases of inflammatory pseudotumors of the Lungare reported.They were sclerosing hemagioma in 17 cases,histiocytomain 14 cases and plasma cell granuloma in one.Before and duringoperation,the misdiagnosis rates were 93.8% and 87.5% respectively.The definite diagnosis rates in frozen section was 23.1%(3/13).25cases(78%)were misdiagnosed for more than 3 months,with the longestbeing 12 years.The causes of misdiagnosis,the diagnosis ofinflammatory pseudotumors of the lung,and the main points of thedifferential diagnosis to pulmonary tuberculoma,peripkeral type of lungcarcinoma,pulmonary hamartoma,adenoma and localized,mesotheliomaof pleura were disscused.