结节性淋巴样增生是可疑肺肿块的偶然发现

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
H. Reuter, S. Reuter
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引用次数: 1

摘要

肺结节性淋巴样增生是一种罕见的多克隆性淋巴样增生疾病。在报告的病例中,偶然发现在内脏胸膜附近有不规则边缘的实性结节性病变,高度提示恶性肿瘤。本报告强调了典型的免疫组织化学结果和结节性淋巴样增生的良性过程。通过对文献的回顾,总结了目前关于疾病病因学的知识以及区分结节性淋巴样增生与其他肺淋巴样病变的不同诊断工具的价值。手术切除不仅是诊断,而且是治疗,迄今为止没有证据表明NLH可以不手术而消退。本病例显示ct引导活检后NLH自发消退,表明另一种侵入性较小的诊断方法具有治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nodular Lymphoid Hyperplasia as Incidental Finding of Suspect Pulmonary Mass
Nodular lymphoid hyperplasia of the lung is a rare disease of polyclonal lymphoid proliferation. The incidental finding of a solid nodular lesion with irregular margins adjacent to the visceral pleura in the reported case was highly suggestive of malignancy. The present report underscores the typical immunohistochemical findings and the benign course of nodular lymphoid hyperplasia. The current knowledge about disease aetiology and the value of different diagnostic tools to distinguish nodular lymphoid hyperplasia from other pulmonary lymphoid lesions are summarized by a review of the literature. Surgical resection is not only diagnostic but also curative with no evidence so far that NLH can regress without operation. The present case shows the spontaneous regression of NLH after CT-guided biopsy indicating that an alternative, less invasive diagnostic approach has curative potential.
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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