Saleem Muhammad Adnan, Bhat Rahul, Sinha Bidisa
Respiratory Medicine, George Eliot Hospital, Nuneaton, England.
Respiratory Medicine, University Hospitals Coventry and Warwickshire, Coventry, UK.
BJR Case Rep. 2016 Nov 26;3(2):20160055. doi: 10.1259/bjrcr.20160055. eCollection 2017.
A pulmonary nodule is a common incidental finding on chest imaging, which includes a wide variety of differential diagnosis. Pulmonary hyalinising granuloma is a rare disease aetiology of pulmonary nodule(s). We report a 74-year-old female who was referred to the respiratory clinic with incidental finding of a solitary pulmonary nodule on chest X-ray. CT confirmed the presence of a 1.2 cm solitary pulmonary nodule in the left upper lobe with no lymphadenopathy. The patient underwent wedge resection, and histopathological examination of the lesion confirmed pulmonary hyalinising granuloma. In most previously reported cases, patients had multiple lesions on chest radiography. Solitary pulmonary lesion is an uncommon presentation of this clinical entity and only a few cases have been reported in the literature.
肺结节是胸部影像学检查中常见的偶然发现，其鉴别诊断范围广泛。肺玻璃样变肉芽肿是导致肺结节的一种罕见病因。我们报告一例74岁女性患者，因胸部X线检查偶然发现孤立性肺结节而转诊至呼吸科门诊。CT证实左上叶存在一个1.2厘米的孤立性肺结节，无淋巴结肿大。患者接受了楔形切除术，病变的组织病理学检查证实为肺玻璃样变肉芽肿。在大多数先前报道的病例中，患者胸部X线表现为多发病变。孤立性肺部病变是该临床实体的一种不常见表现，文献中仅报道了少数病例。
