Ganti Somshekar, Milton Richard, Davidson Les, Anikin Vladimir
Department of Thoracic Surgery, St, James University Hospital, Beckett Street, Leeds LS9 7T, UK.
J Cardiothorac Surg. 2006 Aug 3;1:19. doi: 10.1186/1749-8090-1-19.
Pulmonary hamartomas are usually an incidental finding and range in size from 1 cm to 8 cm in diameter in various series. We report a case of a massive pulmonary hamartoma (size 25.5 x 17.5 x 6.5 cm and weighing 1134 g) in a 61 year old male who presented with a short history of breathlessness. The tumour was arising from the medial border of the right lung and occupying most of the right chest extending in to the anterior mediastinum. The tumour was compressing the right lung and there was no evidence of infiltration into the surrounding structures. It was successfully treated by surgical resection and final histology was pulmonary hamartoma with predominantly adipose and leiomyomatous differentiation.
肺错构瘤通常是偶然发现的,在不同系列报道中直径大小从1厘米到8厘米不等。我们报告一例61岁男性的巨大肺错构瘤(大小为25.5×17.5×6.5厘米,重1134克),该患者有近期气短病史。肿瘤起源于右肺内侧缘,占据了大部分右胸并延伸至前纵隔。肿瘤压迫右肺,没有浸润周围结构的证据。通过手术切除成功治疗,最终组织学检查为主要具有脂肪和平滑肌瘤样分化的肺错构瘤。