Yamabe K, Nakano N, Fujiwara K, Kai Y, Maeda H
Department of Surgery, Ehime National Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Sep;42(9):1399-403.
The patient was a 66-year-old man. An abnormal mass on his chest X-ray was pointed out during a regular check-up in November 1991. He was admitted to our hospital with the chief complaint of productive cough in January 1992. With the diagnosis of lung cancer, right middle and lower lobectomy with lymph node resection and partial resection of the pericardium was carried out. The pathological examination revealed pulmonary plasma cell granuloma infiltrating the pericardium. Postoperative course was uneventful. No recurrence was seen 17 months after operation. As pulmonary plasma cell granuloma is histologically benign, this was a very rare case with extra-pulmonary extension. Up to present, only 8 cases including this case has been reported in the literature. We reviewed these 8 cases.
该患者为一名66岁男性。1991年11月定期体检时，胸部X光片显示有异常肿块。1992年1月，他因咳嗽咳痰为主诉入院。诊断为肺癌后，行右中下叶切除、淋巴结清扫及部分心包切除术。病理检查显示为浸润心包的肺浆细胞肉芽肿。术后恢复顺利。术后17个月未见复发。由于肺浆细胞肉芽肿在组织学上为良性，这是一例非常罕见的伴有肺外扩展的病例。迄今为止，包括本病例在内，文献中仅报道了8例。我们对这8例病例进行了回顾。
