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作者曾于1974年遇到一例在半年内相继在右肺下叶和右大脑半球枕部均发现炎性假瘤的病例,特报告如下: 患者,女,27岁,因胸闷、咳嗽及右侧胸痛9个月,发热3个月于1973年11月8日住院。X线胸片示右肺下叶均匀致密的圆形肿物,直径14cm,边界清晰,周围肺野正常。遂行右肺中、下叶双叶切除术。肿物圆形,边界清、无包膜,直径13cm,质柔韧。切面细腻呈灰黄色,有坏死区。镜下可见大灶性感染坏死,周围有多量嗜中性白细胞及吞噬细胞围绕(图1),其它各处则为大量增生的纤维母细胞,具有丰富的血管,其间散在少数嗜中性白细胞及淋巴细胞。病理报告为肺炎性假瘤。患者于1974年1月16日痊愈出院。出院后情况佳,能参加一般体力劳动。出院后4个月有头痛、头晕、伴恶心呕吐,继之双目视物不清。于1974年5月就诊神经外科。患者于待床入院期间突然昏迷,右瞳大于左瞳。遂急症开颅。肿物位于右颞顶枕部,圆形,直径8cm,边界清无包膜,质
In 1974, the author encountered a case of inflammatory pseudotumor found in the right lower lobe and the occipital hemisphere of the right hemisphere in six months. The special report was as follows: Patient, female, 27 years old, with chest tightness, cough and right side Chest pain for 9 months, fever 3 months in hospital on November 8, 1973. X-ray showed right lower lobe of uniform dense round tumor, diameter 14cm, the boundary is clear, the surrounding lung field is normal. In the right lung, the next leaf double lobectomy. Tumor round, clear border, no capsule, diameter 13cm, quality and flexibility. Delicate section was gray, necrotic area. Microscopic examination showed focal necrosis, surrounded by a large number of neutrophils and phagocytes around (Figure 1), while other parts of the mass proliferation of fibroblasts, with abundant blood vessels, scattered in the middle of a few neutrophils and lymph nodes cell. Pathological report for the inflammatory pseudotumor. The patient was discharged on January 16, 1974. Good condition after discharge from the hospital, can participate in general manual labor. 4 months after discharge, headache, dizziness, with nausea and vomiting, followed by ambiguous eyesight. In 1974 May Department of Neurosurgery. The patient suddenly coma during hospitalization until bed, right pupil larger than the left pupil. Then acute craniotomy. The tumor is located in the right temporal top occipital, circular, diameter 8cm, clear boundary without capsule, quality