Ozkan H, Tolunay S, Gözü O, Ozer Z G
Department of Thoracic Surgery, Uludağ University School of Medicine, Bursa, Turkey.
Thorac Cardiovasc Surg. 1990 Oct;38(5):321-3. doi: 10.1055/s-2007-1014044.
The giant lymphoid hamartoma is known as a rare, benign, large, solitary, encapsulated mass of lymphoid tissue. It frequently involves mediastinum or pulmonary hilum. It may also occur in other various locations. Few of the patients may have general symptoms. The disease has been divided into two variants according to microscopic structure. These are hyaline vascular type and plasma-cell type. The hyaline vascular type is benign but the plasma-cell type meets malignancy criteria, so that the plasma-cell type has been subject to discussion whether it is suited to chemotherapy or not. Our case was a 55-year-old male with persistent cough. There was a mass having a size of 6 centimeters on left pulmonary hilum on chest radiograph. Left thoracotomy was performed and a hilar lymphoid mass removed. The biopsy finding was "hyaline vascular type giant lymphoid hamartoma". No other therapy was done. Patient is well six months after the operation.
巨大淋巴样错构瘤是一种罕见的、良性的、巨大的、孤立的、有包膜的淋巴组织肿块。它常累及纵隔或肺门。也可发生于其他不同部位。少数患者可能有全身症状。根据微观结构，该病已分为两种类型。即透明血管型和浆细胞型。透明血管型为良性，但浆细胞型符合恶性标准，因此浆细胞型是否适合化疗一直存在争议。我们的病例是一名55岁男性，持续咳嗽。胸部X线片显示左肺门有一个6厘米大小的肿块。进行了左开胸手术，切除了肺门淋巴样肿块。活检结果为“透明血管型巨大淋巴样错构瘤”。未进行其他治疗。术后6个月患者情况良好。
