Rizzo S, Marchesi R, Ronchi V, Scicchitano D, Luinetti O, Pandolfi U
Divisione di Pneumologia, IRCCS Policlinico S. Matteo, Pavia.
Minerva Chir. 2000 Nov;55(11):807-14.
Clinical, therapeutical observations and experience in 3 cases of pulmonary inflammatory pseudotumors (PIP) are presented. A retrospective analysis is made of cases with pulmonary "mass" suspected as malignant tumor, resected in a general surgery department between 1988 and 1995, and finally diagnosed as inflammatory pseudotumor. Three of the 10 cases originally diagnosed as malignant lung tumor were inflammatory pseudotumor (30%). Pulmonary inflammatory pseudotumors, may be a pitfall diagnosing a lung mass and implicate legal problems. Surgical resection leads to the final diagnosis in doubtful cases. A wide resection has a diagnostic aim and may preserve healthy parenchyma. Clinicians, pathologists and surgeons should accurately inform patients with doubtful diagnosis of pulmonary malignancy. Any decision should be kept altogether either choosing the simple observation or the timely surgical diagnostic and therapeutical approach.
本文介绍了3例肺炎性假瘤（PIP）的临床、治疗观察及经验。对1988年至1995年间在普通外科切除的疑似恶性肿瘤的肺部“肿块”病例进行回顾性分析，最终诊断为炎性假瘤。最初诊断为恶性肺肿瘤的10例病例中有3例为炎性假瘤（30%）。肺炎性假瘤可能是诊断肺部肿块的一个陷阱，并涉及法律问题。在疑难病例中，手术切除可得出最终诊断。广泛切除具有诊断目的，且可保留健康实质。临床医生、病理学家和外科医生应准确告知肺部恶性肿瘤诊断存疑的患者。对于选择单纯观察还是及时进行手术诊断及治疗的任何决定都应慎重考虑。
