Inflammatory pseudotumor of the diagnosis and surgical treatment
Objective To evaluate the pulmonary inflammatory pseudotumor of the surgery and its handling characteristics. Methods A retrospective analysis of 16 cases pseudotumor cases of pneumonia characteristics in order to find out, such as lung cancer and the differences and similarities, summing up the experience of dealing with surgery. The results of pulmonary inflammatory pseudotumor more than 80% of asymptomatic patients, X-ray and CT demonstrated a lack of specific and easy to be confused with lung cancer, lung tumor pro-radionuclide imaging examination of the differential diagnosis of some help. The conclusions of the unknown nature of pulmonary mass should ...... Abstract Objective To evaluate the pulmonary inflammatory pseudotumor of the surgery and its handling characteristics. Methods A retrospective analysis of 16 cases pseudotumor cases of pneumonia characteristics in order to find out, such as lung cancer and the differences and similarities, summing up the experience of dealing with surgery. The results of pulmonary inflammatory pseudotumor


80% of asymptomatic, X-ray and CT demonstrated a lack of specific and easy to be confused with lung cancer, lung tumor pro-radionuclide imaging examination of the differential diagnosis of some help. The conclusions of the unknown nature of pulmonary tumor resection surgery should be to prevent the missed diagnosis of lung cancer, surgery can damage the small thoracoscopic minimally invasive surgery. Key words inflammatory pseudotumor of the surgical treatment of lung cancer

Pulmonary inflammatory pseudotumor: diagnosis and surgical treatment.

Xie Yuancai, Wu Da, Mou Zhimin, et al.

Department of Thoracic Surgery, Shenzhen Hospital of Beijing University, Guangdong518036.

Abstract】 【Objective To investigate the character and clinical treatment of pulmonary inflammatory pseudo ˉ tumor (PIP). Methods To analyze the characteristics and X-ray findings of16cases of PIP.Results 80% patients suffered PIP have no symptom.there is little specifity in X - ray or CT, and it is ease to confuse with malignant tumor of the lung.Lung radioclide image is helpful in discriminating the PIP from other lung disease.Conclusion Surgical treatment under the video

assistant thoracoscope can be done in most cases to exclude tumor of the lung in diagnosis.

Key words pulmonary inflammatory pseudotumor lung cancer surgical treatment

Inflammatory pseudotumor is a kind of benign lung diseases, mainly by the fibroblast cells and muscle fiber, and mixed a variety of inflammatory cells, mostly solitary lesion, also showed multiple lesions, imaging was last round, a round-type Or irregular-shaped mass, and so easy to be confused with lung cancer. Since 1999, our hospital had 16 cases of pulmonary inflammatory pseudotumor cases were confirmed by surgery and pathology, the report is as follows.

1 clinical data

1.1 General information on this group of 16 patients in 9 cases of men and 7 females, aged 21 to 75 years old, the average 51-year-old, 4 men smoking history, the rest had no history of smoking

.

1.2 symptoms of 13 cases (13/16) asymptomatic, are medical or other diseases when they seek medical treatment discovery; the other 3 cases of varying degrees of clinical symptoms, including 1 case of dry cough, 1 case of cough, sputum, chest pain 1.

1.3 upper right lung lesion in 2 cases, the right lung in 1 case, the right lower lung in 5 cases, 3 cases of upper left lung, left lung in 4 cases, and about 1 case of pulmonary lesions are, but in order to clear the upper left lung disease. Peripheral lesions in 14 cases, the size of the lesion diameter of 0.8 ~ 5.5cm, an average of 1.34cm.

1.4 with 3 cases of the disease associated with diabetes, with 2 cases of chronic bronchitis, 2 cases of tuberculosis have a history of the past.

1.5 Imaging see the general chest CT and chest can be seen on-chip (1) of the form: 5 round, round 7 cases, 4 cases of irregular shape; (2) Profile: 7 cases of fuzzy, jagged and non-regular 6 Cases, long-Faso 2, finishing 1; (3) density: 10 cases of uniform, uneven, 6; (4) around the mass: there are around 11 cases of video-like spot, around 1 case of lung field clear 3 See calcification, 1 See, for example, empty, 2 cases of mediastinal lymph nodes.

1.6 fiberoptic bronchoscopy and sputum cytology: no positive was found.

1.7-lung tumor radionuclide imaging examination (ECT): 16 patients were negative.

1.8 Treatment of 16 cases of patients who have been pre-operative anti-infective treatment for more than 2 weeks, chest CT review no significant changes in the tumor. After thoracoscopic pulmonary wedge resection in 13 cases, 3 routine open surgery, a routine pulmonary wedge resection, 2 lobectomy plus routine lymph node dissection. 15 cases of surgery Bank of China quickly frozen biopsy confirmed to be inflammatory pseudotumor, 1 case of malignant lesions to start thinking about that after the general pathology confirmed to be inflammatory pseudotumor.