Hillerdal G, Hemmingsson A
Acta Radiol Diagn (Stockh). 1980;21(5):615-20. doi: 10.1177/028418518002100507.
Ten patients are described in whom a localized reaction in the visceral pleura developed comparatively rapidly, involving parts of the underlying lung parenchyma, forming an atelectatic pseudotumour. The lesions were mistaken for pulmonary malignancy, leading to thoracotomy in 5 patients. It is suggested that these lesions can occur many years after exposure to asbestos and that they are sequelae of benign pleurisy. Computer tomography is of great value in these cases and may obviate thoracotomy.
本文描述了10例患者,其脏层胸膜出现局部反应,发展相对迅速,累及部分肺实质,形成肺不张假瘤。这些病变被误诊为肺部恶性肿瘤,导致5例患者接受了开胸手术。提示这些病变可能在接触石棉多年后发生,是良性胸膜炎的后遗症。计算机断层扫描在这些病例中具有重要价值,可能避免开胸手术。