Montini F, Mascitelli E, Beltrami V
Istituto di Clinica Chirurgica Generale, Università degli Studi, Chieti.
Minerva Chir. 1995 Oct;50(10):921-4.
An inflammatory pseudotumour of the lung was occasionally observed at radiology and is reported. Such lesions account for 1% of all lung tumours and are frequently asymptomatic; the findings on physical and laboratory examinations are usually nonspecific. Radiographic findings and invasive diagnostic procedures--including bronchoscopy and transthoracic fine needle biopsy--may be not sufficient for histological diagnosis. Surgery is then important for both diagnostic and therapeutic reasons; the treatment of choice is complete but non extensive excision. Radiotherapy should be considered in patients who had incomplete surgical resection or postoperative recurrences and in patients non resectable due to associated medical conditions.
偶尔在放射检查中发现肺部炎性假瘤并予以报道。此类病变占所有肺部肿瘤的1%,通常无症状;体格检查和实验室检查结果通常无特异性。影像学检查结果和侵入性诊断程序——包括支气管镜检查和经胸细针活检——可能不足以进行组织学诊断。出于诊断和治疗原因,手术很重要;首选治疗方法是完整但不广泛的切除。对于手术切除不完全或术后复发的患者以及因合并内科疾病而无法切除的患者,应考虑放疗。