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

Authors：

川北医学院附属医院胸心外科（四川南充 637000）;

Corresponding author：

Keywords：

肺肿瘤; 软骨瘤; 诊断; 外科治疗

DOI：

10.7507/1007-4848.20160021

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目的探讨原发性肺软骨瘤（chondroma）的临床特点、诊断及其治疗方法，以提高临床医师对本病的认识和诊疗水平方法回顾性分析我院4例（男2例、女2例，年龄50～63岁）肺软骨瘤的临床资料，并结合国内外1983年1月至2013年9月30年文献报道的51例患者的临床资料进行分析和总结。结果 55例患者中男30例，女25例，发病年龄10～84（42.47± 17.27）岁。主要临床表现有咳嗽、咳痰、痰中带血、胸闷、胸痛、呼吸困难、喉部不适等，也有无临床症状，于体检发现。临床诊断以肺癌、结核、错构瘤、炎性假瘤、肺畸胎瘤及肺部包块等。55例患者都行手术治疗，无手术死亡。结论肺软骨瘤是临床上一种较为罕见的良性肿瘤，临床表现缺乏特异性，术前误诊率较高，影像资料有助于诊断和鉴别诊断，确诊依靠病理诊断以及肺软骨瘤与Carney’s综合征的关系，手术切除治疗疗效确切。

Citation： 谭雄, 赖应龙, 李金洁, 梅波, 赵永生, 费俊杰, 首云蓝. 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, 黄云超, 涂长玲.肺原发性软骨瘤2例.肿瘤防治研究, 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.	李国, 王建利, 王珏, 等.原发肺软骨瘤1例报告并文献复习.中国误诊学杂志, 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, 曹代荣, 等.肺原发性软骨瘤的CT表现.中国临床医学影像杂志, 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.	杨超, 谭益, 唐胜军, 等.肺软骨瘤1例.中华胸心血管外科杂志, 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, 赖应龙, 贾维坤, 等.肺海绵状血管瘤二例并文献复习.中华肺部疾病杂志(电子版), 2010, 3(6): 430-433.

1. 王昆, 黄云超, 涂长玲.肺原发性软骨瘤2例.肿瘤防治研究, 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. 李国, 王建利, 王珏, 等.原发肺软骨瘤1例报告并文献复习.中国误诊学杂志, 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, 曹代荣, 等.肺原发性软骨瘤的CT表现.中国临床医学影像杂志, 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. 杨超, 谭益, 唐胜军, 等.肺软骨瘤1例.中华胸心血管外科杂志, 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, 赖应龙, 贾维坤, 等.肺海绵状血管瘤二例并文献复习.中华肺部疾病杂志(电子版), 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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