Otani Y, Yoshida I, Kawashima O, Yamagishi T, Ishikawa S, Ohtaki A, Morishita Y
Second Department of Surgery, Gunma University School of Medicine, Japan.
Surg Today. 1997;27(4):310-2. doi: 10.1007/BF00941804.
In the following report, we describe our investigation of the diagnosis and operative methods for benign tumors of the lung, in which the surgical treatment was selected due to suspicious malignancy. This study included 22 patients with benign tumors. The patients' mean age was 55 years old. The histological diagnosis was made postoperatively prior to 1985 and intraoperatively after 1986. Hamartoma was the most common of the benign tumors. In benign tumors, the preoperative diagnosis was almost the same as the postoperative one. Of the patients with benign tumors, 78% underwent lobectomy or segmentectomy prior to 1985, and none have undergone any invasive procedures since 1986. Malignant tumors are sometimes difficult to distinguish from benign tumors preoperatively. Therefore, intraoperative histological examinations are necessary in cases in which malignancy is suspected. In such cases, a smaller invasive procedure should be selected due to the possibility of the tumor being benign.
在以下报告中，我们描述了对肺部良性肿瘤诊断及手术方法的研究，这些病例因怀疑为恶性肿瘤而选择了手术治疗。本研究纳入了22例肺部良性肿瘤患者。患者的平均年龄为55岁。1985年以前在术后进行组织学诊断，1986年以后在术中进行组织学诊断。错构瘤是最常见的良性肿瘤。在良性肿瘤中，术前诊断与术后诊断基本一致。在良性肿瘤患者中，1985年以前78%的患者接受了肺叶切除术或肺段切除术，自1986年以来，没有患者接受过任何侵入性手术。恶性肿瘤有时术前难以与良性肿瘤区分开来。因此，对于怀疑为恶性的病例，术中组织学检查是必要的。在这种情况下，由于肿瘤可能为良性，应选择侵入性较小的手术。
