肺 Pseudolymphoma の 1 例と本邦報告例の検討

元データ 1985-08-31 京都大学

概要

この論文は国立情報学研究所の学術雑誌公開支援事業により電子化されました。A resected case of pseudolymphoma of the lung was presented with a study on the literatures hitherto reported in Japan. The presented case, a 60-year-old female, was ultimately diagnesed as pseudolymphoma after right upper lobectomy with a tentative diagnosis of lung cancer, although repeated transbronchial as well as percutaneous biopsy procedures all failed to reveal presurgical histological and cytological confirmations. The tumor, ca 2×2cm in size, was localized immediately beneath the pleura in right upper dorsal segment. Though the tumor showed marginal infiltrative extensions into the surrounding normal pulmonary tissue with a small indentation of pleura and its gross appearance was very much like adenocarcinoma, no metastases were confirmed in the regional lymphonodes. Histologically, the tumor was a localized hyperplasia of lymphoid tissue with prominent germinal centers. Proliferation of collagenous tissue was also evident. The lymphocytes, plasma cells, and scattered hystiocytes appeared normal in morphology without any atypy. The patient has been on followup for one year and four months without relapse after the resection. Twenty cases of pseudolymphoma hitherto reported in Japanese literatures, including the present case, were analysed. These cases demonstrated a benign nature of the condition as a whole, although a few exacerbations of residual lesions were reported. Strict adherence to criteria for the diagnosis and long-term followup appear to be necessary in the present status for dealing with pseudolymphoma.

著者

西山 秀樹 日本赤十字社和歌山医療センター呼吸器科
久世 文幸 京都大学結核胸部疾患研究所内科1
村山 尚子 高雄病院内科
中島 道郎 京都市立病院呼吸器科
倉沢 卓也 国立療養所南京都病院呼吸器科
倉澤 卓也 国立病院機構札幌南病院
樋口 加代子 京都大学結核胸部疾患研究所病理学部門
竹田 俊男 京都大老化生物学
倉澤 卓也 京都大学結核胸部疾患研究所内科第1
竹田 俊男 京都大学結核胸部疾患研究所病理
竹田 俊男 京都大学結核胸部疾患研究所病理学部門
村山 尚子 京都大学結核胸部疾患研究所内科学第1部門
西山 秀樹 京都大学結核胸部疾患研究所内科学第1部門
渡辺 智 京都大学結核胸部疾患研究所外科学部門
久世 文幸 京都大学結核研究所化学療法部

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