Araki K, Nakamura H, Fukui H, Ikeda M
Department of Thoracic Surgery, National Yonago Hospital, Yonago, Japan.
Kyobu Geka. 2003 Sep;56(10):893-6.
A 65-year-old woman was referred to our hospital because of cough and sputum. Chest CT scan revealed a coin lesion (about 1.5 cm diameter) with slight speculation at the right upper lobe. We suspected a lung cancer and performed video assisted thoracic surgery (VATS). Under the thoracoscopy, the tumor was completely extirpated with safety margin by the partial resection of the right upper lobe. Pathological findings definitely revealed inflammatory pseudotumor, fibrohistiocytic variant type. VATS is a good indication for the diagnosis and treatment of inflammatory pseudotumor. This case was reported together with some reviews of the literature.
一名65岁女性因咳嗽、咳痰被转诊至我院。胸部CT扫描显示右上叶有一个直径约1.5厘米的硬币状病灶，伴有轻微毛刺。我们怀疑是肺癌，遂进行了电视辅助胸腔镜手术（VATS）。在胸腔镜下，通过右上叶部分切除将肿瘤完整切除，切缘安全。病理结果明确显示为炎症性假瘤，纤维组织细胞变型。VATS是诊断和治疗炎症性假瘤的良好方法。现将此病例报告并结合文献进行一些综述。
