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Benign myoepithelioma of the lung - a case report and review of the literature

机译:肺良性肌上皮瘤-病例报告并文献复习

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Introduction Benign myoepithelioma is extremely rare in the lung, to the best of our knowledge; only five cases have been reported in the literature. Case Report An 18-years woman complained from tiredness and fever during four months. Laboratory findings and fibroscopies were normal. CT of the thorax demonstrated a nodule in the left segment of the Fowler. Left inferior lobectomy was performed comporting a firm nodule of 25 mm, lifting the bronchial mucous membrane. Histologically, there was a proliferation of small cells of a plasmocytoid-type, with a predominantly whorled pattern. No mitotic activity or necrosis was seen in the tumor. Immuhistochemically, the tumor cells positive for smooth muscle actin, vimentine, and S100 protein. They were negatives for cytokeratine, chromogranine and HMB45. The diagnosis of benign myoepithelioma of the lung is so confirmed. The patient recovered well at 6 months follow-up. Conclusion Benign myoepithelioma is a rare pulmonary neoplasm distinct from pleomorphic adenoma, which should be considered in the differential diagnosis of lung nodules.
机译:引言据我们所知,良性肌上皮瘤在肺中极为罕见。文献中仅报道了五例。病例报告一名18岁妇女在四个月内抱怨疲倦和发烧。实验室检查和纤维化检查均正常。胸部的CT显示在福勒的左段结节。进行左下叶切除术,结节结节25毫米,抬高支气管粘膜。组织学上,浆细胞样类型的小细胞增殖,主要呈螺旋状。在肿瘤中未见有丝分裂活性或坏死。免疫组织化学上,肿瘤细胞对平滑肌肌动蛋白,波形蛋白和S100蛋白呈阳性。它们对细胞角蛋白,嗜铬粒蛋白和HMB45呈阴性。肺的良性肌上皮瘤的诊断已得到证实。随访6个月,患者恢复良好。结论良性肌上皮瘤是一种罕见的肺肿瘤,不同于多形性腺瘤,应在肺结节的鉴别诊断中加以考虑。

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