Indolent lung opacity: Ten years follow-up of pulmonary inflammatory pseudo-tumor  

作　　者：Jad A Degheili Nadim A Kanj Salwa A Koubaissi Mouhamad J Nasser 

机构地区：[1]Division of General Surgery, Department of Surgery, American University of Beirut-Medical Center [2]Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, American University of Beirut-Medical Center [3]Department of Internal Medicine, American University of Beirut-Medical Center

出　　处：《World Journal of Clinical Cases》2017年第2期61-66,共6页世界临床病例杂志

摘　　要：Inflammatory pseudotumor(IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for accurate diagnosis and cure. Moreover the true nature of IPT, its origin as a neoplastic entity or an overreactive inflammatory reaction to an unknown trigger, has been a long debated matter. Surgery remains the treatment of choice. IPT is mostly an indolent disease with minimal morbidity and mortality. Local invasion and metastasis predict a poor prognosis. We hereby present a unique case of pulmonary IPT that was surgically excised, but recurred contralaterally, shortly thereafter. Despite no medical or surgical treatment for ten years, the lesion has remained stable in size, with neither symptoms nor extra-pulmonary manifestations.Inflammatory pseudotumor(IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for accurate diagnosis and cure. Moreover the true nature of IPT, its origin as a neoplastic entity or an overreactive inflammatory reaction to an unknown trigger, has been a long debated matter. Surgery remains the treatment of choice. IPT is mostly an indolent disease with minimal morbidity and mortality. Local invasion and metastasis predict a poor prognosis. We hereby present a unique case of pulmonary IPT that was surgically excised, but recurred contralaterally, shortly thereafter. Despite no medical or surgical treatment for ten years, the lesion has remained stable in size, with neither symptoms nor extra-pulmonary manifestations.

关 键 词：INFLAMMATORY PSEUDOTUMOR ANAPLASTIC lymphoma kinase INFLAMMATORY myofibroblastic TUMOR Plasma cells granuloma IgG4-related SCLEROSING disease 

分 类 号：R563[医药卫生—呼吸系统]