Clinical Analysis of Primary Pulmonary Chondroma: Four Cases Report and Literature Review_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

川北醫學院附屬醫院胸心外科（四川南充 637000）;

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Keywords：

肺腫瘤; 軟骨瘤; 診斷; 外科治療

DOI：

10.7507/1007-4848.20160021

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目的探討原發性肺軟骨瘤（chondroma）的臨床特點、診斷及其治療方法，以提高臨床醫師對本病的認識和診療水平方法回顧性分析我院4例（男2例、女2例，年齡50～63歲）肺軟骨瘤的臨床資料，并結合國內外1983年1月至2013年9月30年文獻報道的51例患者的臨床資料進行分析和總結。結果 55例患者中男30例，女25例，發病年齡10～84（42.47± 17.27）歲。主要臨床表現有咳嗽、咳痰、痰中帶血、胸悶、胸痛、呼吸困難、喉部不適等，也有無臨床癥狀，于體檢發現。臨床診斷以肺癌、結核、錯構瘤、炎性假瘤、肺畸胎瘤及肺部包塊等。55例患者都行手術治療，無手術死亡。結論肺軟骨瘤是臨床上一種較為罕見的良性腫瘤，臨床表現缺乏特異性，術前誤診率較高，影像資料有助于診斷和鑒別診斷，確診依靠病理診斷以及肺軟骨瘤與Carney’s綜合征的關系，手術切除治療療效確切。

Citation： 譚雄, 賴應龍, 李金潔, 梅波, 趙永生, 費俊杰, 首云藍. Clinical Analysis of Primary Pulmonary Chondroma: Four Cases Report and Literature Review. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(1): 92-94. doi: 10.7507/1007-4848.20160021 Copy

1.	王昆, 黃云超, 涂長玲.肺原發性軟骨瘤2例.腫瘤防治研究, 2006, 11(30): 847.
2.	Hoekstra MO, Bertus PM, Nikkels PG, et al. Multiple pulmonary chondromata. A rare cause of neonatal respiratory distress. Chest, 1994, 105(1): 301-302.
3.	李國, 王建利, 王玨, 等.原發肺軟骨瘤1例報告并文獻復習.中國誤診學雜志, 2010, 10(6): 1268-1270.
4.	Ammar A, El Hammami S, Sellami KN. chondromas-a rare lung tumour. Rev Mal Respir, 2005, 22(5): 826-827.
5.	Silva VA, Kataguiri P, Trufelli DC, et al. Pulmonary hamartoma as a differential diagnosis of breast cancer metastasis: case report. J Bras Pneumol, 2007, 33(6): 738-742.
6.	Allan JS. Rare solitary benign tumors of the lung. Semin Thorac Cardiovasc Surg, 2003, 15(3): 315-322.
7.	Strano S, Ouafi L, Baud M, et al. primary chordoma of the lung. Ann Thorac Surg, 2010, 89(1): 302-303.
8.	涂占海, 林征宇, 曹代榮, 等.肺原發性軟骨瘤的CT表現.中國臨床醫學影像雜志, 2013, 24(4): 255-258.
9.	Rodriguez FJ, Aubry MC, Tazelaar HD, et al. Pulmonary chondroma: a tumor associated with Carney triad and different from pulmonary hamartoma. Am J Surg, 2007, 31(12): 1844-853.
10.	Kiryu T, Kawaguchi S, Matsui E, et al. Multiple chondromatous hamartomas of the lung: a case report and review of the literature with special reference to Carney syndrome. Cancer, 1999, 15, 85(12): 2557-2561.
11.	Carney JA. The triad of gastric epithelioid leiomyosarcoma, pulmo-nary chondroma, and functioning extra-adrenal paraganglioma: a five-year review. Medicine (Baltimore), 1983, 62(3): 159-169.
12.	Margulies KB, Sheps SG. Carney's triad: guidelines for management. Myo Clin Proc, 1988, 63(5): 496-502.
13.	楊超, 譚益, 唐勝軍, 等.肺軟骨瘤1例.中華胸心血管外科雜志, 2008, 24(5): 334.
14.	Salminen US, Halttunen P, Taskinen E, et al. Recurrence and malignant transformation of endotracheal chondroma. Ann Thorac Surg, 1990, 49(5): 830-832.
15.	梅波, 賴應龍, 賈維坤, 等.肺海綿狀血管瘤二例并文獻復習.中華肺部疾病雜志(電子版), 2010, 3(6): 430-433.

1. 王昆, 黃云超, 涂長玲.肺原發性軟骨瘤2例.腫瘤防治研究, 2006, 11(30): 847.
2. Hoekstra MO, Bertus PM, Nikkels PG, et al. Multiple pulmonary chondromata. A rare cause of neonatal respiratory distress. Chest, 1994, 105(1): 301-302.
3. 李國, 王建利, 王玨, 等.原發肺軟骨瘤1例報告并文獻復習.中國誤診學雜志, 2010, 10(6): 1268-1270.
4. Ammar A, El Hammami S, Sellami KN. chondromas-a rare lung tumour. Rev Mal Respir, 2005, 22(5): 826-827.
5. Silva VA, Kataguiri P, Trufelli DC, et al. Pulmonary hamartoma as a differential diagnosis of breast cancer metastasis: case report. J Bras Pneumol, 2007, 33(6): 738-742.
6. Allan JS. Rare solitary benign tumors of the lung. Semin Thorac Cardiovasc Surg, 2003, 15(3): 315-322.
7. Strano S, Ouafi L, Baud M, et al. primary chordoma of the lung. Ann Thorac Surg, 2010, 89(1): 302-303.
8. 涂占海, 林征宇, 曹代榮, 等.肺原發性軟骨瘤的CT表現.中國臨床醫學影像雜志, 2013, 24(4): 255-258.
9. Rodriguez FJ, Aubry MC, Tazelaar HD, et al. Pulmonary chondroma: a tumor associated with Carney triad and different from pulmonary hamartoma. Am J Surg, 2007, 31(12): 1844-853.
10. Kiryu T, Kawaguchi S, Matsui E, et al. Multiple chondromatous hamartomas of the lung: a case report and review of the literature with special reference to Carney syndrome. Cancer, 1999, 15, 85(12): 2557-2561.
11. Carney JA. The triad of gastric epithelioid leiomyosarcoma, pulmo-nary chondroma, and functioning extra-adrenal paraganglioma: a five-year review. Medicine (Baltimore), 1983, 62(3): 159-169.
12. Margulies KB, Sheps SG. Carney's triad: guidelines for management. Myo Clin Proc, 1988, 63(5): 496-502.
13. 楊超, 譚益, 唐勝軍, 等.肺軟骨瘤1例.中華胸心血管外科雜志, 2008, 24(5): 334.
14. Salminen US, Halttunen P, Taskinen E, et al. Recurrence and malignant transformation of endotracheal chondroma. Ann Thorac Surg, 1990, 49(5): 830-832.
15. 梅波, 賴應龍, 賈維坤, 等.肺海綿狀血管瘤二例并文獻復習.中華肺部疾病雜志(電子版), 2010, 3(6): 430-433.

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Clinical Analysis of Primary Pulmonary Chondroma: Four Cases Report and Literature Review

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