Allan James S
Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Semin Thorac Cardiovasc Surg. 2003 Jul;15(3):315-22. doi: 10.1016/s1043-0679(03)70013-6.
Benign solitary neoplasms of the lung are relatively uncommon but nonetheless must be considered in the differential diagnosis of any solitary pulmonary lesion. Ironically, the advent of improved tomographic imaging and its increasingly broad clinical application have led to a greater recognition of benign solitary pulmonary lesions, presenting the surgeon with a complex management dilemma. Most benign lesions are relatively bland radiographically, making their differentiation from carcinoma difficult. Often, diagnostic certainty can only be achieved with complete resection. Fortunately, advances in minimally invasive thoracic surgery make this prospect less daunting for the patient and surgeon. This article reviews a subset of solitary lesions categorized as rare benign neoplasms from histologic, radiographic, and clinical points of view.
肺良性孤立性肿瘤相对少见,但在任何孤立性肺病变的鉴别诊断中都必须予以考虑。具有讽刺意味的是,断层成像技术的改进及其在临床应用上的日益广泛,使得人们对良性孤立性肺病变有了更多认识,这给外科医生带来了复杂的管理难题。大多数良性病变在影像学上表现相对不典型,难以与癌相鉴别。通常,只有通过完整切除才能实现明确诊断。幸运的是,微创胸外科手术的进展使这一前景对于患者和外科医生来说不再那么令人生畏。本文从组织学、影像学和临床角度对一类被归类为罕见良性肿瘤的孤立性病变进行综述。