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肺原发性平滑肌肉瘤是一种罕见的恶性肿瘤.本文分析了国内报告的31例和2例新病例.33例中男性20例,女性13例,年龄10~59岁.主要临床症状有咳嗽(21/29).咯血(17/29)、咳痰(16/29).X线表现为团块型23/28例,肺不张型3例.7例进行支气管镜检查中有5例在支气管腔内发现新生物.肿瘤直径在1.5~20.0cm之间.切面呈灰色,瘤组织大多较硬.作者结合文献对本病的诊断和治疗进行了讨论.
Pulmonary primary leiomyosarcoma is a rare malignant tumor. This article analyzed 31 cases and 2 new cases reported in China. Among 33 cases, there are 20 males and 13 females, aged 10 to 59 years. The main clinical symptoms are cough. (21/29). Hemoptysis (17/29), cough (16/29). X-ray showed 23/28 lumps, 3 cases of atelectasis, and 5 cases of bronchoscopy in 7 cases. A new organism was found in the bronchial cavity. The tumor diameter was between 1.5 and 20.0 cm. The section was gray and the tumor tissue was mostly hard. The authors combined the literature to discuss the diagnosis and treatment of this disease.