Numata A, Masuda T, Okayasu T, Hashimoto M, Tanabe T
Nihon Kyobu Geka Gakkai Zasshi. 1989 Feb;37(2):350-4.
A case of benign fibrous histiocytoma of the lung in a 8 years old boy was presented. He was first admitted in May, 1983, with recurrent pneumonia. Chest X-ray showed a ill-defined mass in the right lower lobe. Bronchoscopy revealed a round tumor, 1 cm. in maximum diameter, with complete obstruction of the Truncus Intermedius. Endoscopic resection was performed and partial obstruction of the Truncus Intermedius remained. He was re-admitted with pneumonia of the right middle lobe in March, 1986. Bronchoscopy showed severe stenosis of the Truncus Intermedius. Right middle and lower lobectomy was performed. The 4 X 4 X 3 cm tumor was located in the median of the Truncus Intermedius. Microscopically, the lesion composed of fibroblast-like cells and histiocyte-like cells. The patient's post-operative course was uneventful. He has no signs of local recurrence or metastasis. We believe, this is the first reported primary benign fibrous histiocytoma of the lung in a child in Japan.
本文报告了一名8岁男孩的肺良性纤维组织细胞瘤病例。他于1983年5月首次因反复肺炎入院。胸部X线显示右下叶有一界限不清的肿块。支气管镜检查发现一个最大直径为1厘米的圆形肿瘤，完全阻塞了中间支气管。进行了内镜切除，但中间支气管仍有部分阻塞。1986年3月，他因右中叶肺炎再次入院。支气管镜检查显示中间支气管严重狭窄。遂行右中、下叶切除术。肿瘤大小为4×4×3厘米，位于中间支气管中部。显微镜下，病变由成纤维细胞样细胞和组织细胞样细胞组成。患者术后恢复顺利，无局部复发或转移迹象。我们认为，这是日本首例报道的儿童原发性肺良性纤维组织细胞瘤。
