Camargo José Jesus de Peixoto, Camargo Spencer Marcantonio, Machuca Tiago Noguchi, Perin Fabíola Adélia
Irmandade, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Sao Paulo Med J. 2008 Jul;126(4):236-8. doi: 10.1590/s1516-31802008000400010.
Round pneumonia is a condition usually described in children, with few reports addressing adult patients. It is an oval-shaped consolidation that, due to its radiological appearance, simulates bronchogenic carcinoma. Its evolution tends to be benign, although diagnostic dilemmas have sometimes required exploratory thoracotomy. Deaths caused by this condition have even been reported. To the best of our knowledge, there have been 31 previous cases of round pneumonia in adults reported in the English and Portuguese-language literature, of which only one was completely asymptomatic.
The case of a 54-year-old female patient presenting a lung mass found on routine imaging evaluation is reported. Respiratory symptoms and signs were absent, but the patient had a significant history of smoking. Her physical examination gave normal results. On chest radiographs, a mass located in the middle third of the right lung was observed. Three weeks after the initial evaluation, the patient was admitted for a complete evaluation and for staging of a pulmonary malignancy, but repeated chest radiographs showed complete resolution.
圆形肺炎通常见于儿童，涉及成年患者的报道较少。它是一种椭圆形实变影，因其影像学表现，类似支气管源性癌。其病情演变往往呈良性，不过有时诊断难题需要进行开胸探查。甚至有关于这种疾病导致死亡的报道。据我们所知，英文和葡萄牙语文献中此前已报道31例成人圆形肺炎病例，其中仅有1例完全无症状。
报告了一名54岁女性患者的病例，该患者在常规影像评估中发现肺部有肿块。患者无呼吸道症状和体征，但有大量吸烟史。体格检查结果正常。胸部X线片显示右肺中三分之一处有一个肿块。初次评估三周后，患者因全面评估和肺部恶性肿瘤分期入院，但重复胸部X线片显示肿块已完全消退。
