肺炎症性筋線維芽細胞腫ようの1切除例

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  • A case of inflammatory myofibroblastic tumor of the lung

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A 25-year old man presented with an asymptomatic pulmonary nodule first detected by routine chest roentgenogram. His laboratory findings were within normal limits. Chest CT showed an approximately 2cm solitary and well-circumscribed nodule in the lingular division. Preoperative CT-guided lung biopsy revealed few inflammatory cells. He underwent lingulectomy of the left upper lobe, because the tumor histopathologically showed spindle cell proliferation and also suggested low grade malignancy on intraoperative frozen section examination. The final diagnosis was inflammatory myofibroblastic tumor of the lung. Inflammatory myofibroblastic tumor is a rare disease that most often occurs in the lung. IMT has been described by various terms due to its variable cellular components, including plasma cell granuloma, inflammatory pseudotumor, xanthogranuloma, and fibrous histiocytoma. We report this case with reference to the literature.

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