Intrapulmonary lymph nodes: pathology and diagnostic problems
Abstract
The morphological characteristics of intrapulmonary lymph nodes (IPLN) are presented in patients with primary lung cancer according to resection data. Clinical, radiological and pathological comparison was performed and it was shown that in most cases, a differential diagnosis was made between the primary tumor process and metastatic lung injury. Macroscopically on the resected material, increased IPLN with pronounced dust and atrophy were detected. In a number of cases, IPLN was identified as a random finding in the morphological study of surgical material. An observation was made in which a segmental resection of the lung was performed in connection with an erroneous diagnosis of metastasis in patients with anthracoconiosis IPLN.
About the Authors
L. M. Grinberg
ФГБОУ ВО УГМУ Минздрава России; Уральский НИИ фтизиопульмонологии
Russian Federation
Russian Federation
I. E. Valamina
ФГБОУ ВО УГМУ Минздрава России
Russian Federation
Russian Federation
P. B. Korotkov
МАУ «Городская клиническая больница № 40»
Russian Federation
Russian Federation
E. U. Meshcheryakova
ФГБОУ ВО УГМУ Минздрава России
Russian Federation
Russian Federation
References
1. Jungraithmayr, W. Anthracotic intrapulmonal lymph nodes mimicking lung metastases / W. Jungraithmayr, B. Delaloye-Frischknecht, W. Weder // Ann Thorac Surg. - 2014. - Vol. 98. - Iss. 2. - P. 704-706.
2. Takashima, S. Indeterminate solitary pulmonary nodules revealed at population-based CT screening of the lung: using first follow-up diagnostic CT to differentiate benign and malignant lesions /S. Takashima, S. Sone, F. Li, Y. Maruyama, M. Hasegawa, M. Kadoya // AJR Am J Roentgenol. - 2003. - № 180. - Р. 1255-1263.
3. Benjamin, M.S. Small pulmonary nodules: detection at chest CT and outcome / M.S. Benjamin, E.A. Drucker, T.C. McLoud, J.A. Shepard // Radiology. - 2003. -№ 226. - Р. 489-493.
4. Nagahiro, I. Intrapulmonary lymph nodes enlarged after lobectomy for lung cancer /1. Nagahiro, A. Andou, M. Aoe, H. Date, N. Shimizu //Ann Thorac Surg. - 2001. - № 72. - Р. 2115-7.
5. Yokomise, H. Importance of intrapulmonary lymph nodes in the differential diagnosis of small pulmonary nodular shadows / H. Yokomise, H. Mizuno, O. Ike, H. Wada , S. Hitomi, H. Itoh // Chest. -1998. - № 113. - Р. 703-706.
6. Oshiro, Y. Intrapulmonary lymph nodes: thin-section CTfeatures of 19 nodules / Y. Oshiro, M. Kusumoto, N. Moriyama et al. // J Comput Assist Tomogr. - 2002. - № 26. - Р. 553-557.
7. Myeong, I. Perifissural nodules seen at CT screening for lung cancer / I. Myeong, G. Tadhg, H. Chan, M. Annette et al. //Radiology. - 2010. - Vol. 254. - Is. 3. -Р. 949-956.
8. Hyodo, T. Intrapulmonary lymph nodes: thin-section CT findings, pathological findings, and CT differential diagnosis from pulmonary metastatic nodules / Т. Hyodo, S. Kanazawa, S. Dendo et al. // Acta Med Okayama. - 2004. - Vol. 58(5). - P. 235-40.
9. Hochhegger, B. Intrapulmonary lymph node: a common and underrecognized tomography finding / B. Hochhegger, D. Quinto // J Bras Pneumol. - 2013. -Vol. 39(6). - P. 757-758.
10. Matsuki, M. Thin-section CTfeatures of intrapulmonary lymph nodes /M. Matsuki, S. Noma, Y. Kuroda, K. Oida et al. // J Comput AssistTomogr. -2001. - Vol. 25. -P.753-756.
11. Ohyama, S. Three cases of small intrapulmonary lymph nodes coincidental with primary lung cancer / S. Ohyama, T. Murayama, K. Bando, Y. Hasegawa, M. Taniguchi et al. // Nihon Kokyuki Gakkai Zasshi. -2001. - Vol. 39(6). - P. 434-7.
Review
For citations:
Grinberg LM, Valamina IE, Korotkov PB, Meshcheryakova EU. Intrapulmonary lymph nodes: pathology and diagnostic problems. Ural Medical Journal. 2018;(2):77-79. (In Russ.)
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