Corticosteroid for plasma cell granuloma of the lung?

Munetsugu Nishimura , Takeharu Koga , Hirohiko Kitazato , Yukihiro Misumi , Masaharu Kinoshita , Takao Kitajima , Yuko Narita , Hisamichi Aizawa
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Abstract

A 69-year-old man presented pleural-based masses and a marked hypergammaglobulinemia. Thoracoscopic lung biopsy revealed the lung pathology as prominent lymphoplasmacytic infiltrates admixed with fibrosis, consistent with plasma cell granuloma (PG). Treatment with corticosteroid (CS) induced complete remission of the lung lesions and normalization of hypergammaglobulinemia. Discontinuation of CS resulted in a resurgence of the lung lesion, which again was remitted on resumption of CS, stressing an efficacy of CS in the condition. This and other published cases affirm the value of treatment with corticosteroids as an acceptable choice for primary and recurrent pulmonary PG.

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皮质类固醇治疗肺浆细胞肉芽肿?
一位69岁的男性表现为胸膜基础肿块和明显的高γ -球蛋白血症。胸腔镜肺活检显示肺病理为明显的淋巴浆细胞浸润伴纤维化,符合浆细胞肉芽肿(PG)。皮质类固醇(CS)治疗诱导肺部病变完全缓解和高γ -球蛋白血症正常化。停止CS导致肺部病变复发,恢复CS后再次缓解,强调CS对该病症的疗效。本研究和其他已发表的病例证实了皮质类固醇治疗作为原发性和复发性肺PG的可接受选择的价值。
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