Khilnani G C, Kumar A, Gupta S Datta, Surendranath A, Sharma S
Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029, India.
J Assoc Physicians India. 2003 May;51:519-21.
We describe a middle aged, non-smoking female who presented with dysphagia and underwent repeated endoscopies and oesophageal dilatation for a period of six months without any response. On imaging she was found to be having a lobulated mass with a radiological differential diagnosis of malignancy, lymphoma or a rare inflammatory lesion. After an inconclusive CT guided biopsy the patient underwent thoracoscopy on which an unresectable mass was found. The biopsy from the mass revealed pulmonary hyalinizing granuloma (PHG). To best of our knowledge this is the first case of PHG presenting as dysphagia reported in the English Literature. Literature on this rare entity is reviewed.
我们描述了一位中年不吸烟女性，她因吞咽困难就诊，在六个月的时间里接受了多次内镜检查和食管扩张，但均无效果。影像学检查发现她有一个分叶状肿块，影像学鉴别诊断为恶性肿瘤、淋巴瘤或罕见的炎性病变。在CT引导下活检结果不明确后，患者接受了胸腔镜检查，发现了一个无法切除的肿块。肿块活检显示为肺透明变性肉芽肿（PHG）。据我们所知，这是英文文献中报道的首例以吞咽困难为表现的PHG病例。本文对关于这个罕见实体的文献进行了综述。
