肺部脂质肉芽肿1例报道  

Lipogranuloma of the lung: a case report

作　　者：姚一楠[1] 杨光叠[1] 周建英[1] 

机构地区：[1]浙江大学医学院附属第一医院呼吸内科,浙江杭州310003

出　　处：《南方医科大学学报》2012年第4期573-574,共2页Journal of Southern Medical University

基　　金：国家自然科学基金(81170038)~~

摘　　要：目的提高临床医生对肺部脂质肉芽肿的认识。方法报道1例误诊为肺癌的肺部脂质肉芽肿患者,结合文献复习,阐述该病的临床表现、诊断及治疗。结果该患者肺部CT提示右下肺肿块,考虑右肺癌,行手术治疗,术后病理提示肺部脂质肉芽肿。结论肺部脂质肉芽肿十分罕见,其临床表现、影像学与肺癌和其他肺部良性肿瘤难以区分,确诊需依赖病理学。Lipogranuloma is a rare benign disease accompanied by a reactive inflammatory process related to exogenous or endogenous lipids.We report a case of lipogranuloma of the lung mimicking pulmonary neoplastic disease in a 57-year-old woman,who presented with the symptom of coughing for a month.The diagnosis of lung cancer was considered for the CT finding of a mass in right lower lobe.The patient underwent subsequent operation,and pathological examination of the surgical specimen revealed a stromal lesion consisting of lipid vacuoles with foreign body type giant cells and scattered lymphocytes.The final diagnosis of lipogranuloma of the lung was established.Clinicians should be aware of lipogranuloma in the lung,which can be easily confused with lung tumors or other benign diseases.A careful differential diagnosis is necessary.

关 键 词：脂质肉芽肿 肺 病理学 良性疾病 

分 类 号：R563.1[医药卫生—呼吸系统]