Kim Jae Hak, Cho Jae Hee, Park Moo Suk, Chung Jae Ho, Lee Jun Gu, Kim Young Sam, Kim Se Kyu, Kim Sung Kyu, Shin Dong Hwan, Choi Byoung Wook, Choe Kyu Ok, Chang Joon
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Korean J Intern Med. 2002 Dec;17(4):252-8. doi: 10.3904/kjim.2002.17.4.252.
Pulmonary inflammatory pseudotumor is an uncommon benign lesion of the lung. In Korea, most literature of the pulmonary inflammatory pseudotumor was case reports.
We collected 28 cases of pulmonary inflammatory pseudotumor in Korea. This collective series included 4 cases from our hospital and 24 cases were reviewed from the literature since 1977. The analysis involved the age, sex, chief complaint, hematologic examination, size and location of the lesion, cavity formation, presence of calcification and treatment method.
Male was more prevalent (81.5%) than female and mean age was 37.9 years old (6-63 yrs). Chief complaints were cough (44.4%), chest pain (29.6%), fever (22.2%), hemoptysis (15%), sputum (15%) and dyspnea (11.1%). There were asymptomatic cases in 11.1%. Hematologic examination revealed normal finding (53.3%) and anemia (20%). The mean size of the lesion was 4.76 cm (1.5-14 cm) and the locations were parenchymal (85.7%), endobronchial (10.7%) and endotracheal (3.6%). Except the endotracheal case, the lesions were in the right (46.4%), the left (42.8%) and bilateral (7.1%). Calcifications (18.5%) and cavitations (11.1%) were present. Diagnostic methods were open thoracotomy (82.1%), bronchoscopy (3.6%), needle aspiration biopsy (7.1%) and core needle gun biopsy (7.1%). Treatments were surgery (85.2%), steroid therapy (7.4%), rigid bronchoscopic removal (3.7%) and observation (3.7%). Postoperative recurrence occurred in only 1 case (4.3%).
Pulmonary inflammatory pseudotumor was more prevalent in the male, and patients presented with the respiratory symptoms were common. It was necessary to do surgery in most cases for diagnosis and/or treatment.
肺炎性假瘤是一种少见的肺部良性病变。在韩国，大多数关于肺炎性假瘤的文献都是病例报告。
我们收集了韩国的28例肺炎性假瘤病例。这个系列包括我院的4例以及自1977年以来从文献中回顾的24例。分析内容包括年龄、性别、主要症状、血液学检查、病变的大小和位置、空洞形成、钙化情况以及治疗方法。
男性比女性更常见（81.5%），平均年龄为37.9岁（6 - 63岁）。主要症状有咳嗽（44.4%）、胸痛（29.6%）、发热（22.2%）、咯血（15%）、咳痰（15%）和气促（11.1%）。11.1%的病例无症状。血液学检查显示正常（53.3%）和贫血（20%）。病变的平均大小为4.76厘米（1.5 - 14厘米），位置在实质内（85.7%）、支气管内（10.7%）和气管内（3.6%）。除气管内病例外，病变位于右侧（46.4%）、左侧（42.8%）和双侧（7.1%）。存在钙化（18.5%）和空洞形成（11.1%）。诊断方法有开胸手术（82.1%）、支气管镜检查（3.6%）、针吸活检（7.1%）和芯针枪活检（7.1%）。治疗方法有手术（85.2%）、类固醇治疗（7.4%）、硬质支气管镜下切除（3.7%）和观察（3.7%）。术后仅1例（4.3%）复发。
肺炎性假瘤在男性中更常见，有呼吸道症状的患者很常见。大多数情况下为了诊断和/或治疗有必要进行手术。
