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Pulmonary Inflammatory Pseudotumor: A report of 28 cases

Authors
 Jae Hak Kim  ;  Jae Hee Cho  ;  Moo Suk Park  ;  Jae Ho Chung  ;  Jun Gu Lee  ;  Young Sam Kim  ;  Se Kyu Kim  ;  Sung Kyu Kim  ;  Dong Hwan Shin  ;  Byoung Wook Choi  ;  Kyu Ok Choe  ;  Joon Chang 
Citation
 KOREAN JOURNAL OF INTERNAL MEDICINE, Vol.17(4) : 252-258, 2002 
Journal Title
 KOREAN JOURNAL OF INTERNAL MEDICINE 
ISSN
 1226-3303 
Issue Date
2002
MeSH
Adolescent ; Adult ; Child ; Female ; Humans ; Korea/epidemiology ; Male ; Middle Aged ; Plasma Cell Granuloma, Pulmonary/diagnosis* ; Plasma Cell Granuloma, Pulmonary/pathology ; Plasma Cell Granuloma, Pulmonary/therapy*
Keywords
Granuloma ; Plasma cell ; Pulmonary
Abstract
BACKGROUND: Pulmonary inflammatory pseudotumor is an uncommon benign lesion of the lung. In Korea, most literature of the pulmonary inflammatory pseudotumor was case reports. METHODS: We collected 28 cases of pulmonary inflammatory pseudotumor in Korea. This collective series included 4 cases from our hospital and 24 cases were reviewed from the literature since 1977. The analysis involved the age, sex, chief complaint, hematologic examination, size and location of the lesion, cavity formation, presence of calcification and treatment method. RESULTS: Male was more prevalent (81.5%) than female and mean age was 37.9 years old (6~63 yrs). Chief complaints were cough (44.4%), chest pain (29.6%), fever (22.2%), hemoptysis (15%), sputum (15%) and dyspnea (11.1%). There were asymptomatic cases in 11.1%. Hematologic examination revealed normal finding (53.3%) and anemia (20%). The mean size of the lesion was 4.76 cm (1.5~14 cm) and the locations were parenchymal (85.7%), endobronchial (10.7%) and endotracheal (3.6%). Except the endotracheal case, the lesions were in the right (46.4%), the left (42.8%) and bilateral (7.1%). Calcifications (18.5%) and cavitations (11.1%) were present. Diagnostic methods were open thoracotomy (82.1%), bronchoscopy (3.6%), needle aspiration biopsy (7.1%) and core needle gun biopsy (7.1%). Treatments were surgery (85.2%), steroid therapy (7.4%), rigid bronchoscopic removal (3.7%) and observation (3.7%). Postoperative recurrence occurred in only 1 case (4.3%). CONCLUSION: Pulmonary inflammatory pseudotumor was more prevalent in the male, and patients presented with the respiratory symptoms were common. It was necessary to do surgery in most cases for diagnosis and/or treatment.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Kyu(김성규)
Kim, Se Kyu(김세규)
Kim, Young Sam(김영삼) ORCID logo https://orcid.org/0000-0001-9656-8482
Kim, Jae Hak(김재학)
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Shin, Dong Hwan(신동환)
Lee, Jun Gu(이준구)
Chang, Joon(장준) ORCID logo https://orcid.org/0000-0003-4542-6841
Chung, Jae Ho(정재호)
Cho, Jae Hee(조재희)
Choi, Byoung Wook(최병욱) ORCID logo https://orcid.org/0000-0002-8873-5444
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143334
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