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[肺错构瘤——附3例临床病例]

[Pulmonary hamartomas--apropos 3 clinical cases].

作者信息

Popescu M, Popa V, Sora D, Malene G, Marosin C, Danciu L, Moldovan A

机构信息

Spitalul de Pneumoftiziologie, Sibiu.

出版信息

Pneumoftiziologia. 1994 Jan-Jun;43(1-2):35-9.

PMID:7734985
Abstract

The study starts with presentation of present day knowledge of the disease. Its features are predominantly X-ray images consisting mainly in a round or ovular, usually solitary formation ("coin lesion"). The clinical expression of the disease is usually very discrete, the general state unmodified. The X-ray evidencing follows a routine examination. 3 cases of personal observations are presented. All cases were solved by surgery, by removal of tumour. Etiology is fixed by histological examination of surgery specimen. All aspects risen by the differential diagnosis are largely discussed focusing on lung granuloma (e.g. tuberculoma) lung abscess, limited pneumonia, lipoid pneumonia a.o. Hamartomas are of mesenchymal origin, they are not considered just as tumours but very similar to "tumour-like", without invasive evolution.

摘要

该研究始于对该疾病现有知识的介绍。其特征主要是X线图像,主要表现为圆形或椭圆形,通常为单发灶(“硬币病灶”)。该疾病的临床表现通常非常不明显,一般状况无改变。通过常规检查进行X线诊断。本文展示了3例个人观察病例。所有病例均通过手术切除肿瘤得以解决。通过对手术标本的组织学检查确定病因。重点讨论了鉴别诊断中出现的所有方面,主要涉及肺肉芽肿(如结核瘤)、肺脓肿、局限性肺炎、类脂性肺炎等。错构瘤起源于间叶组织,它们不被视为单纯的肿瘤,而是与“肿瘤样”非常相似,无侵袭性进展。

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