Immunoglobulin G4-related infl ammatory pseudotumor of the lung

被引:16
作者
Fujiu K. [1 ]
Sakuma H. [2 ]
Miyamoto H. [1 ]
Yamaguchi B. [3 ]
机构
[1] Department of General Thoracic Surgery, Southern Tohoku General Hospital, Koriyama, Fukushima 963-8563
[2] Department of Pathology, Southern Tohoku General Hospital, Koriyama, Fukushima
[3] Department of Respiratory Disease, Southern Tohoku General Hospital, Koriyama, Fukushima
关键词
IgG4; Infl ammatory pseudotumor; Lung; Plasma cell; Sclerosing disease;
D O I
10.1007/s11748-009-0491-4
中图分类号
学科分类号
摘要
An 82-year-old man presented with a nodule in the right S2a of the lung as seen by chest computed tomography (CT). He had undergone treatment for chronic obstructive lung disease. He had a 53-year history of smoking 20 cigarettes a day. Subsequent to the appearance of the nodule in the right S 2a, the CT images revealed consolidations in the right S 2b, right S3, and left S5. The nodule in the right S2a was diagnosed as squamous cell carcinoma after performing video-assisted thoracoscopic wedge resection of the lung. After 4 months, the size of the consolidation in the right S2b increased. Recurrence of lung cancer was suspected. Using transbronchial lung biopsy, the consolidation in the left S5 was diagnosed as organizing pneumonia; therefore, right upper lobectomy was performed. The consolidations in the right S 2b and right S3 were diagnosed as infl ammatory pseudotumors with infi ltrations of immunoglobulin G4-positive plasma cells. © 2010 The Japanese Association for Thoracic Surgery.
引用
收藏
页码:144 / 148
页数:4
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