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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 investigate the clinicopathologic features of primary non-chondroma and the causes and prevention of diagnosis, treatment and misdiagnosis. Methods: The clinical manifestations of a 56-year-old male with pulmonary chondromatosis were analyzed. Histopathological staining was performed on the specimens and the literature was reviewed to understand the characteristics of the tumor. Results: Primary pulmonary chondroma is rare and generally has no special clinical manifestations. Clinical diagnosis is often confused with pulmonary hamartoma and tuberculosis. Histological examination on the differential diagnosis helpful. Because of its malignant possible, the best treatment for complete removal. Conclusion: The primary pulmonary chondroma is rare. The treatment is based on complete resection of the tumor. Especially thoracoscopic assisted lobectomy is the best treatment and the prognosis is good. In clinical practice, special attention should be paid to the identification of this disease and some similar diseases in primary lung to avoid misdiagnosis.