Mizuno Kotaro, Fukai I, Murata T, Goto T
Department of Chest Surgery, Ko-Sei-Ren Suzuka General Hospital, Suzuka, Japan.
Kyobu Geka. 2006 Feb;59(2):102-5.
We described a case of pulmonary inflammatory myofibroblastic tumor that was resected video-assisted thoracoscopic surgery (VATS) with safety surgical margin. The legion masqueraded primary lung cancer showing invasion to neighboring lobe. Positron emission tomography (PET) was not helpful in diagnosing whether it was malignant or not. Inflammatory myofibroblastic tumor was called as inflammatory pseudotumor, formerly. Several reports, however, suggested that so called inflammatory pseudotumor was a true neoplasm rather than a proliferating tissue due to inflammatory response. It is not rare that inflammatory myofibroblastic tumor invades neighboring organ or shows relapsing after coarse margin resection. Our case would remind pulmonary physicians of its correct treatment, i.e. surgical resection with adequate safety margin.
我们描述了一例通过电视辅助胸腔镜手术（VATS）切除且手术切缘安全的肺部炎性肌纤维母细胞瘤病例。该病灶伪装成原发性肺癌，表现出对邻近肺叶的侵犯。正电子发射断层扫描（PET）对诊断其是否为恶性并无帮助。炎性肌纤维母细胞瘤以前被称为炎性假瘤。然而，一些报告表明，所谓的炎性假瘤是一种真正的肿瘤，而非炎症反应导致的增生性组织。炎性肌纤维母细胞瘤侵犯邻近器官或在切缘不充分切除后复发并不罕见。我们的病例将提醒肺科医生其正确的治疗方法，即进行具有足够安全切缘的手术切除。
