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肺炎性假瘤是一种较为少见的肺实质内瘤样增生病变,国内文献报告还不多。临床和X线及病理标本的肉眼观察酷似真性肿瘤,显微镜下形态结构复杂,但本质上是属于炎性增生性病变。由于过去对本病缺乏认识和注意,以至在临床实际工作中胸外科、放射科和病理科等医生经验不足时,往往误诊为各种良、恶性肿瘤,尤以误诊为肺癌者最为常见。诊断上造成对病者极大的精神威胁,治疗上造成手术不必要的扩大化。有的甚至在术前后均作抗癌药物的治疗。其次,也常有诊断为肺结核瘤者,以至长时间作抗结核治疗,而病变并无好转。凡此种种,大大加重患者的痛苦和造成人力和药物上的不必要浪费。根据文献上多数资料研究表明:本病变组织形态的本质是炎症增生或与炎症后结局相关的一系列较为复杂的病变,故在处理上不应与恶性肿瘤等同看待。为了提高对肺炎性假瘤的认识,现把我院从1972年至1980年6月的胸科住院手术的病例中,经组织学检查,证实为肺炎性假瘤的16例,作一报道,以供医务同志参考。
Pneumonic pseudotumor is a relatively rare intrapulmonary neoplasia, and few domestic reports have been reported. Visual observations of clinical and X-ray and pathological specimens resemble true tumors. Microscopic morphological structures are complex, but they are essentially inflammatory proliferative lesions. Due to the lack of awareness and attention to the disease in the past, even in the clinical practice of thoracic surgery, radiology and pathology and other doctors are often inexperienced, often misdiagnosed as a variety of benign and malignant tumors, especially those who misdiagnosed as lung cancer is the most common. The diagnosis creates a great mental threat to the patient, which inevitably results in unnecessary enlargement of the operation. Some even treat anti-cancer drugs before and after surgery. Second, there are often diagnosed as tuberculoma, and even for a long time for anti-TB treatment, and the lesions did not improve. All these things greatly increase the suffering of patients and cause unnecessary waste of manpower and drugs. According to many studies in the literature, it is shown that the nature of the diseased tissue morphology is a series of more complex lesions associated with inflammatory hyperplasia or post-inflammatory outcomes, and therefore should not be considered equivalent to malignant tumors in terms of treatment. In order to raise awareness of pneumocystic pseudotumor, we now report our hospital’s 16 cases of pleuropneumoriginal tumors through histological examination from 1972 to June of 1980. For reference by medical staff.