Pulmonary inflammatory pseudotumor observed by bronchoscopy and resected using video-assisted thoracic surgery

被引：11

作者：

Nakamura Y. ^{[1
]}

Iwazaki M. ^{[4
]}

Watanabe R. ^{[2
]}

Isono H. ^{[2
]}

Masuda R. ^{[4
]}

Sato T. ^{[3
]}

Miyamoto M. ^{[2
]}

Shimada A. ^{[1
]}

机构：

[1] Department of Surgery, Keiyu Hospital, Nishi-ku, Yokohama Kanagawa 220-0012

[2] Department of Internal Medicine, Keiyu Hospital, Nishi-ku, Yokohama Kanagawa 220-0012

[3] Department of Pathology, Keiyu Hospital, Nishi-ku, Yokohama Kanagawa 220-0012

[4] Division of Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Isehara Kanagawa

来源：

General Thoracic and Cardiovascular Surgery | 2013年 / 61卷 / 4期

关键词：

Bronchoscopy; Inflammatory pseudotumor; Video-assisted thoracic surgery;

D O I：

10.1007/s11748-012-0126-z

中图分类号：

学科分类号：

摘要：

Pulmonary inflammatory pseudotumor is rare. A 34-year-old woman visited our hospital due to an abnormal chest shadow. Computed tomograhy showed a nodule in the right upper lobe. Bronchoscopy showed a polypoid endobronchial nodule obstructing most of the orifice of B2a. The nodule was white, glossy, and smooth, and it seemed to be covered with bronchial mucosa. However, transbronchial biopsy could not facilitate a diagnosis. To obtain a definitive diagnosis, we performed lobectomy of the right upper lobe using video-assisted thoracic surgery and removed the nodule completely. The pathologic diagnosis made during surgery was inflammatory pseudotumor. Immunohistochemical examination showed proliferating spindle cells were positive for vimentin and smooth muscle actin, but negative for epithelial markers. These findings were consistent with the staining pattern of inflammatory pseudotumor previously reported. Careful follow-up is necessary to detect any sign of local recurrence and distant metastases. © 2012 The Japanese Association for Thoracic Surgery.

引用

页码：234 / 237

页数：3

共 16 条

[1]

Melloni G., Carretta A., Ciriaco P., Arrigoni G., Fieschi S., Rizzo N., Et al., Inflammatory pseudotumor of the lung in adults, Ann Thorac Surg, 79, pp. 426-432, (2005)

[2]

Kim T.S., Han J., Kim G.Y., Lee K.S., Kim H., Kim J., Pulmonary inflammatory pseudotumor (Inflammatory myofibroblastic tumor) CT features with pathologic correlation, J Comput Assist Tomogr, 29, pp. 633-639, (2005)

[3]

Nakamura H., Kawasaki N., Taguchi M., Kitamura H., Pulmonary inflammatory myofibroblastic tumor resected by video-assisted thoracoscopic surgery, Report of A Case, 37, pp. 137-140, (2007)

[4]

Cerfolio R., Allen M., Nascimento A., Deschamps C., Trastek V., Miller D., Et al., Inflammatory pseudotumors of the lung, Ann Thorac Surg, 67, pp. 933-936, (1999)

[5]

Kazmierczak B., Dal C.P., Sciot R., Van D.B.H., Bullerdiek J., Inflammatory myofibroblastic tumor with HMGIC rearrangement, Cancer Genet Cytogenet, 112, pp. 156-160, (1999)

[6]

Coffin C., Patel A., Perkins S., Elenitoba-Johnson K., Perlman E., Griffin C., ALK1 and p80 expression and chromosomal rearrangements involving 2p23 in inflammatory myofibroblastic tumor, Mod Pathol, 14, pp. 569-576, (2001)

[7]

Cook J., Dehner L., Collins M., Ma Z., Morris S., Coffin C., Et al., Anaplastic lymphoma kinase (ALK) expression in the inflammatory myofibroblastic tumor: A comparative immunohistochemical study, Am J Surg Pathol, 25, pp. 1364-1371, (2001)

[8]

Yousem S., Shaw H., Cieply K., Involvement of 2p23 in pulmonary inflammatory pseudotumors, Hum Pathol, 32, pp. 428-433, (2001)

[9]

Su L., Atayde-Perez A., Sheldon S., Fletcher J., Weiss S., Inflammatory myofibroblastic tumor: Cytogenetic evidence supporting clonal origin, Mod Pathol, 11, pp. 364-368, (1998)

[10]

Biselli R., Ferlini C., Fattorossi A., Boldrini R., Bosman C., Inflammatory myofibroblastic tumor (inflammatory pseudotumor): DNA flow cytometric analysis of nine pediatric cases, Cancer, 77, pp. 778-784, (1996)

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