肺部炎性假瘤的临床诊治(附178例报告)  

Clinical Diagnosis and Treatment of Inflammatory Pseudoneoplasm (A Report of 178 Cases)

作　　者：屈大望[1] 张熙曾[1] 苏延军[1] 高计林[1] 张振[1] 战忠利[2] 王庆全[3] 

机构地区：[1]天津医科大学附属肿瘤医院胸科,天津市300060 [2]天津医科大学附属肿瘤医院病理科,天津市300060 [3]天津医科大学附属肿瘤医院放射诊断科,天津市300060

出　　处：《中国肿瘤临床》2000年第6期455-457,共3页Chinese Journal of Clinical Oncology

摘　　要：目的 :总结分析我院胸科1986年1月～1998年12月收治178例肺部炎性假瘤临床诊治情况。方法 :本组178例中 ,保守治疗9例 ,手术切除169例。结果 :肺部炎性假瘤的诊断极为困难常误诊为肺癌 ,其症状与肺癌相似 ,表现最多的是胸痛和血痰 ,X线为肿块 ,最终诊断依据病理检查。临床诊断为炎性假瘤者 ,少数保守治疗可以治愈。抗炎治疗短期无效者 ,应采取积极手术切除 ,尤其是肿瘤>3cm者。手术原则是最大限度保留正常肺组织。结论 :本病预后良好 ,应提出的是肺部炎性假瘤有恶变的可能 ,应定期随访。Objective: To study the diagnosis and treatment of inflammatory pseudoneoplasm. Methods: From Jan 1986 to Dec 1998, One hundred and seventy-eight cases of inflammatory peudoneoplasm were treated in this hospital. One hundred sixty-nine patients underwent operation and nine of them were treated conservatively. Results: The results showed that the diagnosis of inflammatory peudoneoplasm of lung was quite difficult, and it was always misdiagnosed as lung cancer. Most of them manifested chest pain, bloody sputum and a mass on the X-ray film. The final diagnosis depended upon pathological examination. Anti-inflammatory therapy was not effective and operative treatment should be used especially for the mass was larger than 3cm in diameter. There was only few cases could be treated by conservative treatment. Conclusion: The principle of operation is trying best to reverse the normal lung tissues.but postoperative follow-up should be done because malignant changes may occur. The prognosis of this diease is good.

关 键 词：肺部炎性假瘤 病理检查 外科手术 

分 类 号：R563[医药卫生—呼吸系统]