CAJ | 학술논문

目的：探讨如何提高肺滑膜肉瘤的确诊率、减少误诊。方法2012年收治1例肺滑膜肉瘤患者，同时结合2012年10月以前报告、中国期刊全文数据库收录发表的80例资料较为完整的肺原发性滑膜肉瘤患者进行回顾性研究。结果81例肺原发性滑膜肉瘤患者中男40例，女41例。主要临床表现有胸痛、气短、咯血、咳嗽、发热等，个别患者无任何不适。胸部影像学有一些特征表现，但术前均未做出确切诊断。全部患者均进行手术治疗，最终依赖病理、免疫组化做出诊断。结论肺原发性滑膜肉瘤临床表现不一，影像学具有相对特征表现，易与其他肺部肿瘤或炎症混淆；术前确诊率低。
목적：탐토여하제고폐활막육류적학진솔、감소오진。방법2012년수치1례폐활막육류환자，동시결합2012년10월이전보고、중국기간전문수거고수록발표적80례자료교위완정적폐원발성활막육류환자진행회고성연구。결과81례폐원발성활막육류환자중남40례，녀41례。주요림상표현유흉통、기단、각혈、해수、발열등，개별환자무임하불괄。흉부영상학유일사특정표현，단술전균미주출학절진단。전부환자균진행수술치료，최종의뢰병리、면역조화주출진단。결론폐원발성활막육류림상표현불일，영상학구유상대특정표현，역여기타폐부종류혹염증혼효；술전학진솔저。
Objective To investigate the method of diagnosis for pulmonary synovial sarcoma. Methods One case of pulmonary synovial sarcoma hospitalized in 2012 accompanied with 80 cases of pulmonary synovial sarcoma referenced from CNKI before Oct. 2012 were retrospectively investigated. Results Among the 81 cases of primary pulmonary synovial sarcoma,male in 40 cases,female in 41 ca-ses. The main clinical manifestations were chest pain,shortness of breath,cough,fever,hemoptysis. In individual cases,without any discomfort. Chest imaging had some features,but had not made the exact diagnosis before operation. All of the cases received operation treatment and ultimately were diagnosed by the pathology,immunohistochemical test. Conclusions Primary synovial sarcoma of the lung has no typical clinical manifestation,only has relative characteristics of imaging,so it is easily confused with other lung tumors or inflammation and the preoperative diagnosis rate is low.