Checrallah Antoine, Riachi Moussa, Slaba Samy
Services d'anatomie pathologique, CHU Hôtel-Dieu de France, Beyrouth, Liban.
J Med Liban. 2005 Oct-Dec;53(4):229-33.
Inflammatory pseudotumors of the lung can be confusing in their presentation because they lack specific symptoms clinically and can easily be mistaken for malignancy on imaging studies. Their definite diagnosis requires pathologic analysis of tissue which is usually obtained only after surgical resection of the lesion. We report herein the case of a 65-year-old man who presented with recent onset of cough, shortness of breath and hemoptysis. CT scan of the chest showed several ill-defined suspicious densities in both lungs. CT guided needle core biopsy of one of the nodules showed changes consistent with inflammatory pseudotumor of the lung without any evidence of malignancy. The pulmonary lesions, which had rapidly progressed initially, resolved completely with simple clinical observation. The total regression of the "tumor nodules" in this case, without any treatment, illustrates a very unusual outcome of these pseudotumors.
肺部炎性假瘤的临床表现可能令人困惑,因为它们临床上缺乏特异性症状,并且在影像学检查中很容易被误诊为恶性肿瘤。其明确诊断需要对组织进行病理分析,而这通常只有在对病变进行手术切除后才能获得。我们在此报告一例65岁男性病例,该患者近期出现咳嗽、气短和咯血症状。胸部CT扫描显示双肺有几个边界不清的可疑密度影。对其中一个结节进行CT引导下针芯活检,结果显示与肺部炎性假瘤一致的改变,未发现任何恶性肿瘤的证据。这些肺部病变最初进展迅速,但通过简单的临床观察完全消退。在本例中,“肿瘤结节”未经任何治疗完全消退,说明了这些假瘤非常不寻常的转归。