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胸腔病例(三五二)肺錯構瘤

摘要


肺錯構瘤(pulmonary hamartoma)多為偶然發現,為盛行率最高之肺部良性腫瘤。常於中年約40至60歲之間發現,多以男性為主,以肺週邊型較為多數,少數為氣管內生型。大部分肺錯構瘤不擴大或成長緩慢,少有惡性轉變。診斷可以影像學特徵及切片檢查確診。無症狀之肺錯構瘤,若診斷確定可以採用保守觀察策略;若腫瘤診斷不明確、腫瘤過大、腫瘤成長過快之年輕患者、或是有症狀之患者可採用胸腔外科手術治療。

參考文獻


Johansson M, Dietrich C, Mandahl N , et al. Recombinations of chromosomal bands 6p21 and 14q24 characterize pulmonary hamartomas. Br J Cancer 1993; 67:1236-41.
Salminen US. Pulmonary hamartoma. A clinical study of 77 cases in a 21-year period and review of literature. Eur J Cardiothorac Surg 1990;4:15-8.
Siegelman SS, Khouri NF, Scott WW, et al. Pulmonary hamartoma: CT findings. Radiology 1986;160:313-7.
Chai JL, Patz EF. CT of the lung: patterns of calcification and other high-attenuation abnormalities. AJR Am J Roentgenol. 1994;162:1063-6.
Guo W, Zhao YP, Jiang YG, et al. Surgical treatment of pulmonary hamartoma: a retrospective study of 20-year experience. J Exp Clin Cancer Res 2008;27:8.

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