Dr. José de Carvalho Florence Municipal Hospital, São Paulo State Association for Development of Medicine/ Federal University of São Paulo – São José dos Campos, Brazil.
J Bras Pneumol. 2010 Sep-Oct;36(5):662-5. doi: 10.1590/s1806-37132010000500019.
We report the case of a 61-year-old male patient who underwent surgical excision of a lung mass for anatomopathological study. The patient had previously presented with fever, dry cough, and chest pain, together with lung masses detected by chest X-ray, and had undergone thoracotomy for diagnostic investigation on two occasions (1976 and 1981), although a conclusive diagnosis had not been made. A CT scan of the chest revealed large masses with areas of calcification in both lung fields. The anatomopathological study was consistent with pulmonary hyalinizing granuloma. In the postoperative period, the patient experienced several episodes of bronchospasm, which was reversible with the use of symptomatic medication. At this writing, the patient was receiving maintenance therapy with prednisone (40 mg/day) and had shown clinical improvement.
我们报告了一例 61 岁男性患者，该患者因解剖病理学研究而行肺肿块切除术。该患者此前曾出现发热、干咳和胸痛，并通过胸部 X 射线检查发现肺部肿块，曾两次接受开胸手术进行诊断性检查（1976 年和 1981 年），但未得出明确诊断。胸部 CT 扫描显示双肺野有大肿块伴钙化区。解剖病理学研究与肺透明变性肉芽肿一致。术后，患者出现多次支气管痉挛，经对症药物治疗后可逆转。在撰写本文时，患者正在接受泼尼松（40mg/天）维持治疗，并显示出临床改善。
