肺纤维组织细胞瘤的诊断与治疗

目的探讨肺纤维组织细胞瘤临床特点、病理特征、诊断和治疗。方法回顾性分析该院1983～2005年5例肺纤维组织细胞瘤的临床资料。结果全组均行肺叶切除手术治疗,无术后并发症和死亡。术前诊断为肺癌3例;良性肿瘤2例,无1例术前明确诊断。结论该病临床症状无特征性,术前确诊极为困难。本病应手术治疗,术式以肺叶切除为主。预后良好。

Diagnosis and treatment of pulmonary fibrous histiocytoma

[Objective] To study the clinical and histopathological characteristic of pulmonary fibrous histiocytoma and to discuss the diagnostic criterion and therapy. [Methods] Clinical record of 5 cases of fibrous histiocytoma in this hospital from 1983 to 2005 was reviewed. [Results] All patients received surgery including lobotomy in 5, and the postoperative diagnosis was confirmed by pathological sections of the resected specimens. There was no postoperative morbidity and mortality. 2 cases were suspected benign lung tumor before surgery, 3 patients misdiagnosed as lung cancer. No recurrence of fibrous histiocytoma was observed in any of the patients during the follow-up surveys. [Conclusion] This disease has not special clinic symptom, thus preoperative diagnosis of fibrous histiocytoma is very difficult. Resectional therapy is the treatment of choice and pulmonary fibrous histiocytoma is usually rewarded with good prognosis.