A Case of Massive Paraffinoma Following Extraperiosteal Paraffin Plombage

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  • 肺結核に対する骨膜外パラフィン充填術後に緩徐な経過で巨大パラフィノーマを呈した1例

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Abstract

<p>Background. We herein report a case where a patient developed a massive paraffinoma after undergoing extraperiosteal paraffin plombage. Case. A 72-year-old man had developed pulmonary tuberculosis and had thus undergone extraperiosteal paraffin plombage when he was 23 years old. Although he experienced no side effects for decades, at 69 years of age he started to expectorate bloody sputum intermittently, while also expectorating white solid bodies, which were thought to be pieces of paraffin. At 71 years of age, bronchial arterial embolization was performed due to the onset of massive hemoptysis. A mass in the left lung, which had previously been regarded as tuberculosis sequelae, gradually increased in size, thus leading to the occurrence of chest pain. A percutaneous biopsy was performed to determine whether the mass was a malignant tumor. We discovered multiple vacuoles where paraffin had been, as well as the presence of reactive granulation tissue. As a result, we made a diagnosis of paraffinoma. The tumor slowly continued to increase in size. Conclusion. We herein described a rare case of paraffinoma following extraperiosteal paraffin plombage.</p>

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