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慢性嗜酸性粒细胞性肺炎误诊为肺部肿块。

Chronic Eosinophilic Pneumonia Masquerading as a Lung Mass.

机构信息

Brookdale University Hospital Medical Center, Brooklyn, NY, USA.

出版信息

J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096211063337. doi: 10.1177/23247096211063337.

Abstract

Lung masses are becoming more common, and although most are tumors, benign or malignant, some are not solid masses. Many pathologies can present as lung nodules, including lung cancers, hamartomas, lung abscesses, granulomas, and eosinophilic pneumonia, to name a few. A 40-year-old woman with a long history of smoking presented with cough and left-sided chest pain. After multiple imaging studies, she was thought to have a lung malignancy; however, multiple biopsies proved this was not the case. The histology reports of 3 to 4 biopsies at separate times indicated chronic inflammation ongoing in the lungs without any cancer cells present. She was treated for chronic eosinophilic pneumonia with a resolution of symptoms. The purpose of this case report is to discuss a case that was initially thought to be a lung mass but found to be chronic eosinophilic pneumonia manifesting as a lung mass.

摘要

肺部肿块越来越常见,尽管大多数是肿瘤,良性或恶性,但也有些不是实性肿块。许多病理学表现为肺部结节,包括肺癌、错构瘤、肺脓肿、肉芽肿和嗜酸性肺炎等。一位 40 岁的长期吸烟女性出现咳嗽和左侧胸痛。经过多次影像学检查,考虑为肺部恶性肿瘤;然而,多次活检证明并非如此。3 到 4 次不同时间的活检组织学报告表明肺部持续存在慢性炎症,没有任何癌细胞存在。她接受了慢性嗜酸性粒细胞性肺炎的治疗,症状得到缓解。本病例报告旨在讨论一例最初被认为是肺部肿块的病例,但后来发现是慢性嗜酸性粒细胞性肺炎表现为肺部肿块。

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