26 cases of inflammatory pseudotumor of the diagnosis and treatment of_0.docVIP

 PAGE \* MERGEFORMAT 10 26 cases of inflammatory pseudotumor of the diagnosis and treatment of Of: Aiping, Xu Jianrong, He Zhijian, Huang Kefeng, Chan Kwok-keung [Abstract] Objective To investigate the inflammatory pseudotumor of the clinical features, diagnosis and treatment. Methods of surgical treatment of 26 cases of pulmonary inflammatory pseudotumor were reviewed retrospectively. Results The preoperative diagnosis in 5 cases (19.23% misdiagnosis rate was 80.77 %, respectively misdiagnosed as lung cancer, lung tumor, tuberculoma, pulmonary aspergillosis and so on. lobectomy in 14 cases, wedge resection in 8 patients, lung resection in 4 cases. Conclusions inflammatory pseudotumor no specific clinical features, preoperative diagnosis more difficult, diagnosis often depends on pathological examination after surgery. [Keywords:] Granuloma, plasma cell, lung, misdiagnosis, surgical Inflammatory pseudotumor is a chronic non-specific inflammation of the lungs caused by the tumor-like lesions in our hospital in January 1995 to 2007 period of 12 surgical and pathological inflammatory pseudotumor confirmed 26 cases of diagnosis and treatment now reported as follows: 1 Clinical data 1.1 General Information and 18 females, 8 males, female to male ratio of 2.2:1. Aged 18 to 69 years old, average 39.3 years old. Cough, sputum in 16 cases, 7 cases of bloody sputum, chest tightness, pain thoracodorsal 2 cases, fever in 5 cases, 7 were asymptomatic, physical examination found in the lung lesions. duration: 3 days to 16 years, an average of 9 months after the onset of .20 cases diagnosed in other medical units pneumonia or tuberculosis, to 1 week to 6 months of anti-infective or anti-TB treatment, no improvement of symptoms or lesions absorption is not ideal. 1.2 X ray and CT scan chest X ray and CT examination 15 patients with lesions in the right lung: upper lobe in 8 cases, 1 case of middle and lower lobe in 6 cases, 11 cases of left lung: upper lob