Lin Jian, Huang Ling-Ling, Zhang Jian-Wei, Ye Min-Hua, Feng Jia-Xi
Department of Respiratory Medicine, Taizhou Hospital of Wenzhou Medical University Linhai 317000, Zhejiang, P. R. China.
Department of Pathology, Taizhou Hospital of Wenzhou Medical University Linhai 317000, Zhejiang, P. R. China.
Int J Clin Exp Pathol. 2015 Aug 1;8(8):9727-30. eCollection 2015.
A 63-year-old woman complained of hemoptysis was admitted to our hospital. Chest computed tomography (CT) showed a solitary pulmonary nodule (SPN) arising from the lower lobe of the right lung which was considered as lung malignancy. The patient underwent video-assisted thoracoscopic surgery (VATS) of pulmonary wedge resection to remove the nodule. Diagnosis of lipoid pneumonia was established by multiple lipid-laden macrophages found in surgical specimen. As there was no history of inhalation or aspiration of lipid containing substances, she was diagnosed as endogenous lipoid pneumonia. The patient discharged from our hospital after surgery and with no recurrence in 9 months period.
一名63岁咯血女性患者入住我院。胸部计算机断层扫描(CT)显示右肺下叶有一个孤立性肺结节(SPN),考虑为肺恶性肿瘤。患者接受了电视辅助胸腔镜手术(VATS)肺楔形切除术以切除结节。手术标本中发现多个充满脂质的巨噬细胞,从而确诊为类脂性肺炎。由于没有吸入或误吸含脂质物质的病史,她被诊断为内源性类脂性肺炎。患者术后出院,9个月内无复发。