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两种类型的肺部炎性假瘤表现。

Two types of presentation of pulmonary inflammatory pseudotumors.

机构信息

Servicio de Radiodiagnóstico, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Spain.

出版信息

Arch Bronconeumol. 2012 Aug;48(8):296-9. doi: 10.1016/j.arbres.2011.09.001. Epub 2011 Nov 8.

Abstract

Inflammatory pseudotumors are a relatively uncommon pathology of uncertain etiology, generally considered to be reactive in origin. They may be observed in different locations as single or multiple masses. One of the possible forms of presentation is intrapulmonary. Despite its low frequency, this pathology should be considered in the differential diagnosis of lung nodules, even though the histologic results and the imaging tests can become confusing. In addition, pulmonary inflammatory pseudotumors present a low malignancy with good response to surgical treatment as well as to pharmacological therapy, although to a lesser degree. We present a bibliographic review of this pathology based on two cases observed in our hospital. Both patients debuted with non-specific respiratory symptoms and lung nodules on imaging studies that were suspicious for neoplastic processes. After an exhaustive study, the diagnosis of pulmonary inflammatory pseudotumor was reached, with excellent responses to the treatment used in each case.

摘要

炎性假瘤是一种相对罕见的病因不明的病理学疾病,通常被认为是起源于反应性的。它们可能在不同的部位表现为单个或多个肿块。可能的表现形式之一是肺内。尽管其发病率较低,但在肺结节的鉴别诊断中应考虑到这种病理学,即使组织学结果和影像学检查可能会变得混乱。此外,肺部炎性假瘤的恶性程度较低,对手术治疗和药物治疗均有较好的反应,但程度较轻。我们根据在我们医院观察到的两个病例对该病理学进行了文献回顾。两名患者最初出现非特异性呼吸道症状和影像学检查可疑为肿瘤过程的肺结节。经过详尽的研究,诊断为肺部炎性假瘤,两种情况下的治疗反应均良好。

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