Nishihara Mariko, Imai Ryosuke, Ushigusa Takeshi, Nakamura Tomoaki, So Clara, Okafuji Kohei, Kitamura Atsushi, Kojima Fumitsugu, Tomishima Yutaka, Jinta Torahiko, Nishimura Naoki, Bando Toru
Department of Internal Medicine, St. Luke's International Hospital, Japan.
Department of Pulmonary Medicine, Thoracic Center, St. Luke's International Hospital, Japan.
Intern Med. 2025 Mar 15;64(6):893-897. doi: 10.2169/internalmedicine.3956-24. Epub 2024 Aug 8.
Pulmonary sclerosing pneumocytoma (PSP) is a rare, benign tumor. Given the challenges of a bronchoscopic diagnosis, surgery is performed during the early stages of the disease. Therefore, little is known about the growth pattern of PSP. This case of PSP was not diagnosed despite bronchoscopy, resulting in lung resection eight years after the anomaly was first identified on computed tomography (CT). This report compares the long-term follow-up of CT and pathological findings and discusses the difficulty in making a diagnosis using a bronchoscopic forceps biopsy to aid in future PSP diagnoses and treatment planning.
肺硬化性细胞瘤(PSP)是一种罕见的良性肿瘤。鉴于支气管镜诊断存在挑战,手术在疾病早期进行。因此,关于PSP的生长模式知之甚少。该例PSP尽管进行了支气管镜检查仍未确诊,导致在计算机断层扫描(CT)首次发现异常八年后进行了肺切除术。本报告比较了CT的长期随访结果和病理结果,并讨论了使用支气管镜钳取活检进行诊断的困难,以帮助未来PSP的诊断和治疗规划。