Ishikawa M, Miyata T, Sekino M, Noda Y, Sakuma Y, Sakai S
Department of Surgery, Kaizu Medical Association Hospital, Gifu, Japan.
Kyobu Geka. 1996 Nov;49(12):1044-7.
Localized organizing pneumonia is one of the benign conditions which must be differentiated from lung cancer. We have reported two cases of localized organizing pneumonia diagnosed by histological study of surgical specimens. Two cases were initially regarded as lung cancer, because the symptoms of respiratory tract infection were not remarkable and initial roentgenographic findings revealed a tumor-like shadow. Diagnostic thoracoscopy which was less invasive upon a patient were very useful in differentiating organizing pneumonia from lung cancer.
局限性机化性肺炎是一种必须与肺癌相鉴别的良性疾病。我们报告了两例通过手术标本组织学研究诊断为局限性机化性肺炎的病例。这两例最初被认为是肺癌,因为呼吸道感染症状不明显,最初的X线检查结果显示有肿瘤样阴影。对患者侵袭性较小的诊断性胸腔镜检查在鉴别机化性肺炎与肺癌方面非常有用。