PDF(Pubmed)
Abstract：
Lymphoid follicular hyperplasia (LFH) is a benign lymphoproliferative disease. Although it can occur within the thoracic cavity, LFH originating from the chest wall has not been reported. A 79-year-old woman was incidentally found to have a well-defined mass on the left posterior chest wall during a preoperative examination for aortic valve replacement. The mass had slowly grown over 6 years. Thoracoscopic surgical resection was performed without complications. Pathological examination ruled out lymphoproliferative diseases, such as Castleman disease or malignant lymphoma, and a diagnosis of LFH was made. Although LFH generally has a good prognosis, surgical resection is recommended for diagnostic and therapeutic purposes owing to the possibility of malignancy masquerading as a reactive lesion. This is the first report of an LFH arising from the chest wall with imaging findings similar to other benign tumours. Its potential as a differential diagnosis for tumours with similar imaging findings is highlighted.
摘要：
淋巴滤泡增生（LFH）是一种良性淋巴增生性疾病。虽然它可以发生在胸腔内，来自胸壁的LFH尚未报道。在进行主动脉瓣置换术的术前检查中，偶然发现一名79岁的妇女在左后胸壁上有明确的肿块。质量已经缓慢增长超过6年。胸腔镜手术切除无并发症。病理检查排除了淋巴增生性疾病,比如Castleman病或恶性淋巴瘤,并诊断为LFH。尽管LFH通常具有良好的预后，由于恶性肿瘤可能伪装成反应性病变，因此建议将手术切除用于诊断和治疗目的。这是由胸壁引起的LFH的首次报道，其影像学发现与其他良性肿瘤相似。强调了其作为具有相似影像学发现的肿瘤的鉴别诊断的潜力。
