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肺部炎性假瘤是肺实质内一种少见的炎性增生性肿瘤样病变,术前诊断困难。我院1980～1986年340例肺周边型病灶的肺切除中发现13例,但近6个月来就有7例,发病率似有增高趋势。13例中,咳嗽痰中带血9例,胸痛8例,X线表现为孤立的圆形或椭圆形肿块影,术前与肺癌鉴别较难,但本病可发生在任何年龄,症状轻,病程长与肺癌不同。手术中应做冰冻切片,证实为本病者,手术尽量保留肺组织,楔形、肺段切除或肺叶切除。本病病因尚不清楚,术后很少复发。
Pulmonary inflammatory pseudotumor is a rare inflammatory proliferative tumor-like lesion in the lung parenchyma, and it is difficult to diagnose preoperatively. In our hospital from 1980 to 1986, 13 cases were found in the lung resection of 340 cases of peripheral lung lesions, but there were 7 cases in the past 6 months, and the incidence seems to have an increasing trend. In 13 cases, there were 9 cases of blood in cough and 8 cases of chest pain. X-ray showed isolated round or oval masses. It was difficult to identify lung cancer before operation. However, this disease can occur at any age and the symptoms are light. Long course and lung cancer are different. Frozen sections should be made during the operation and confirmed as the patient. The lung tissue should be preserved as far as possible, and the wedge shape, segmental resection or lobectomy should be performed. The etiology of this disease is not yet clear, and there is very little recurrence after surgery.