临床误诊误治2012，Vol.25Issue(11)：19-22,4.DOI:10.3969/j.issn.1002-3429.2012.11.007
气管支气管脂肪瘤误诊文献分析
Misdiagnosed Analysis of Endobronchial Lipoma:A Literature Review
杨翼萌 1蒲纯 1李毅 1柯会星 1许小毛 1方保民1
作者信息
- 1. 100730北京,卫生部北京医院呼吸与危重症医学科
- 折叠
摘要
Abstract
Objective To learn clinical features of endobronchial lipoma and analyze misdiagnosed causes in order to propose appropriate treatment. Methods Clinical data of 2 patients in our hospital and 38 patients from literature reports in China with endobronchial lipoma were retrospectively analyzed. Results 22 out of 40 (55.0%) patients were misdiagnosed as having bronchial asthma (7 patients) , bronchitis (6 patients) , pneumonia (4 patients), lung cancer (4 patients) and bronchial polyps (1 patient). The middle diagnosis period was 12 months. Bronchial lipoma was definitely diagnosed by the transbronchial biopsy (TBB) specimen (8 patients, 20% ), by bronchoscopic resection and pathology (3 patients, 7.5% ) and by surgical resection and pathology (29 patients, 72.5% ). Misdiagnosis was caused due to non-specific symptoms, no goitre in trachea by chest X-ray examination and the low diagnosis rate of TBB. Conclusion Endobronchial lipoma is difficult to be defined. Chest CT and MRI can show direct shadow of the tumor. CT values are useful for diagnosing endobronchial lipoma, but the accuracy diagnosed rate of bronchial lipoma by TBB is low, and multipoint biopsy or surgical procedure should be considered when necessary. Bronchoscopic resection should be considered as the preferred treatment for endobronchial lipoma.关键词
脂肪瘤/气管/支气管/误诊/哮喘/支气管炎Key words
Lipoma/ Trachea/ Bronchi/ Misdiagnosis/ Asthma/ Bronchitis分类
医药卫生引用本文复制引用
杨翼萌,蒲纯,李毅,柯会星,许小毛,方保民..气管支气管脂肪瘤误诊文献分析[J].临床误诊误治,2012,25(11):19-22,4.
