Bonati L, Tondo S
Istituto di Clinica Chirurgica Generale, Università degli Studi di Parma.
Ann Ital Chir. 1993 May-Jun;64(3):275-8; discussion 278-9.
Pulmonary hamartochondromas are tumor-like malformations, often presenting as asymptomatic, noncharacteristic masses that sometimes cannot be differentiated from lung carcinomas and metastases, preoperatively. Eleven patients (6 females and 5 males) with hamartochondroma of the lung were treated at this Institute over a 10 years period. Definitive diagnosis was established at thoracotomy, and treatment of choice was wedge resection. Two patients had pleural postoperative complications while the others made an excellent recovery. All patients are still alive (median survival: 56 months) and no recurrences occurred. Several studies showed that CT and transthoracic needle-aspiration biopsy are reliable methods to achieve the diagnosis in such benign lesions and their use allows a conservative approach. Since none of our cases could be diagnosed with certainty by the above procedures we always performed diagnostic and therapeutic thoracotomy with excellent results.
肺错构瘤是一种肿瘤样畸形，通常表现为无症状的非特征性肿块，术前有时难以与肺癌和转移瘤相鉴别。在10年期间，本研究所共治疗了11例肺错构瘤患者（6例女性，5例男性）。开胸手术时确诊，首选治疗方法为楔形切除术。2例患者术后出现胸膜并发症，其他患者恢复良好。所有患者均存活（中位生存期：56个月），无复发。多项研究表明，CT和经胸针吸活检是诊断此类良性病变的可靠方法，采用这些方法可采取保守治疗。由于我们的病例均无法通过上述方法确诊，因此我们总是进行诊断性和治疗性开胸手术，效果良好。
