前言目的:分析肺炎性假瘤的临床病理特点,并探讨其诊断问题。方法:回顾性分析52例肺炎性假瘤的临床病理资料。结果:男女发病比为2。25∶1,平均年龄50。6岁,平均病程10。8个月;临床主要表现为咳嗽或咳痰,痰中带血或咯血,胸痛或背痛;影像检查见肿块位于肺周边部,单发,圆形或类圆形;病理检查肿块最大平均直径为3。9cm,见于各肺叶,但右肺多于左肺,双上肺多于双下肺,44。2%同侧肺门淋巴结因反应性增生而肿大;经系统抗炎、抗结核治疗,肺肿块影均无改变,手术切除可治愈。结论:肺炎性假瘤有其特点,可与肺癌、肺结核、肺炎相区别;确诊仍需病理活检;CT或超声引导经皮活检值得推广,并应重视电视胸腔镜在诊治中的作用。
Objective:Toanalyzeclinicalpathologiccharacteristicsofpulmonaryinflammatorypseudotumor,andstudyitsdiagnosis.Methods:Clinicopathologicdataof52caseswereanalyzedretrospectively.Results:Cough,expectoration,bloodysputumorhemoptysis,andchestpainorbackachewereprimaryclinicalsymptomsofpatients.Thelumpswerelocatedinperipheralportionsoflungs.Themassesweresingle,roundorovoidshapeinX-rayexamination.Themaximumaveragediameterofthesewas3.9cm.Pathological...
