Dohba S, Kondoh M, Fujita H, Kinami S, Ii T, Inoue T, Komura Y, Takegawa S, Kiriyama M, Kojima Y, Kibe Y, Watanabe K
Department of Surgery, Kanazawa National Hospital, Japan.
Kyobu Geka. 1999 Jul;52(7):595-7.
A 58-year-old man was admitted to our hospital for detailed examination of continuous cough. On a chest X-ray film, abnormal shadow was detected in the right lower lung field. Preoperative examination findings didn't lead to a definitive diagnosis. Under thoracoscopy partial resection of the lung was performed to rule out a malignant lesion. Intraoperative pathologic finding revealed a granulomatous lesion. And, final pathological diagnosis showed to be a pulmonary dirofilariasis. His postoperative course was not eventful. On 20 th day he discharged postoperatively. Now, under the Pet-boom the disease has been reported increasingly. But it is difficult to find the disease preoperatively. So, it is real to be operated for differentiate from a malignant lesion. Recently in many cases open lung biopsy, has been undergone with less invasive procedure such as thoracoscopy and VATS. It will be mainstream in future.
一名58岁男性因持续性咳嗽入院接受详细检查。胸部X光片显示右下肺野有异常阴影。术前检查结果未能得出明确诊断。在胸腔镜下进行了肺部分切除术以排除恶性病变。术中病理检查发现为肉芽肿性病变。最终病理诊断为肺恶丝虫病。他术后恢复过程顺利。术后第20天出院。如今,在宠物热的情况下,该病报告日益增多。但术前很难发现该病。因此,为了与恶性病变相鉴别而进行手术是有必要的。近来,在许多病例中已采用如胸腔镜和电视辅助胸腔镜手术等侵入性较小的手术方式进行开胸肺活检。这将成为未来的主流。