摘要
肺错构瘤是肺内最常见的良性肿瘤。本文报告45例,均为肺实质型。男21例,女24例。16例无任何症状。其余29例有不同程度的胸闷、胸痛、咳嗽、气促、咯血丝痰。错构瘤主要成份是软骨,其次是脂肪、平滑肌组织、腺体和上皮细胞。X线表现为边界清楚的圆形或椭圆形阴影。部分有钙化影;有时三分叶状。术前不易确诊.常误诊为肺癌、肺结核瘤或肺其它良性瘤。术前仅10例诊断本病。肺错构瘤应手术治疗。术式以肿物摘除或肺楔形切除为首选。较大的中央型错构瘤可行肺叶切除术。手术预后良好。
Abstract Hamartoma is the most common benign tumorof the lung. 45 cases are reported. 21 males and24 females. Most of them were parenchymalhamartomas. 16 patients were asymptomatic. Theothers experienced some pain, cough, shortmess ofbreath and hemoptysis. Hamartoma is usuallycomposed of cartilage, fat, smooth muscle andrepiratory epithelium. On roentyenograms. thetumor generally appears as a sharply-outlinedroad of ovalmass. In this series, most hamartomaswere misdiagnosed as lung cancer, tUberculima ofother bgnign lesions. Enuoleation or wedgeresection is desirasle for periferd and smallhamrtoma.For bigger ones,We prefered lobectomy.Because segmental resetion might have morecomplications.
出处
《广东医学》
CAS
CSCD
1995年第9期578-580,共3页
Guangdong Medical Journal