摘要
目的:探讨原发性非软骨瘤的临床病理特征、诊断及鉴别诊断、治疗、误诊的原因和预防。方法:分析1例56岁男性肺软骨瘤患者的临床表现,对标本进行组织病理学染色观察,并复习文献,了解该肿瘤的特征。结果:原发性肺软骨瘤罕见,一般无特殊临床表现,临床诊断常与肺错构瘤和肺结核球混淆。组织学检查对鉴别诊断有帮助。因其有恶变可能,最好的治疗方法为完整切除。结论:原发肺的软骨瘤罕见,治疗手段以肿物完整切除为主,尤以胸腔镜辅助肺叶楔形切除术为最佳治疗手段,预后良好。临床实践中要特别重视本病与原发于肺的一些相似疾病鉴别,避免误诊。
Objective：To improve the clinical recognition of primary chondromas of lung and to avoid the misdiagno sis and mistreatment. Metods： we presented a case of pulmonary chondroma and reviewed the etiology, epidemiology, clinical manifestations, diagnosis, differential diagnosis and treatment of the disease. Result： The clinical manifestation of the previously healthy 56 years old man presented with pulmonary chondroma was not typical, it was usually misdiagnosed as pulmonary hamartoma or pulmonary tuberculoma, its diagnosis must base on the pathology and immunohistochemistry. Conclusion：Pulmonary chondroma is a rare benign tumor of primary lung tumors. In patients with unexplained chronic cough asthma which do not respond to ordinary therapy , pulmonary chondroma of trachea need to be considered. Confirmed diagnosis of primary lung chondroma has great help to treatments and prognosis for patients. Presenting features of pulmonary chondroma is no specific. Surgical resection is effective way for it.
出处
《中国误诊学杂志》
CAS
2010年第6期1268-1270,共3页
Chinese Journal of Misdiagnostics
