原发性；浆细胞瘤；肺_____]原发性；浆细胞瘤；肺

原发性肺浆细胞瘤(附1例报告)

http://www.100md.com 《东南国防医药》 2004年第6期

原发性；浆细胞瘤；肺,,]原发性；浆细胞瘤；肺,[摘要],[关键词],1临床资料,2讨论,参考文献

     [摘要]目的了解原发性肺浆细胞瘤的临床表现、病理表现及诊治。方法1例左上肺孤立型病灶患者，行经皮肺穿刺活检和开胸探查术，结合有关文献及本例患者的临床资料，对本病的临床表现、病理表现及诊治进行论述。结果本病的病理表现主要为表现为弥漫性浸润的浆细胞聚集，呈嗜碱性或嗜酸性，染色质粗，核质成熟不同步，免疫组化浆细胞为单克隆的。结论原发性肺浆细胞瘤是一种极为罕见的肿瘤，病理检查和免疫组化可确诊。

    [关键词]原发性；浆细胞瘤；肺

    Primary pulmonary plasmacytoma-a case report

    SONG Yong, LU Yanyun, HUANG Xuchun, et al. Department of Respiratory Medicine, Nanjing General Hospital of PLA, Nanjing,210002,China

    [Abstract]ObjectiveTo investigate the clinical and pathological characteristics of primary pulmonary plasmacytoma (PPP) and its diagnosis and treatment.MethodsA patient with left upper lung solitary nodule was treated with exploratory thoracotomy, the diagnosis was established by transthoracic needle lung biopsy. We discussed the clinical and pathological presentation of primary pulmonary plasmacytoma.ResultsThe pathological characteristics of PPP were following: proliferation of plasma cells which might be mature or immature, immunohistochemistry studies might establish light chain restriction, establishing monoclonality.ConclusionsPPP is very rare in the world, pathological techniques and immunohistochemistry can confirm the diagnosis. ......

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