原发性支气管平滑肌肉瘤。咳出肿瘤碎片后确诊。
Primary endobronchial leiomyosarcoma. Diagnosis following expectoration of tumor fragment.
作者信息
Lee S H, Shim J J, Shin J S, Baek M J, Choi Y H, Kim M K, Kim C H, Lee S Y, Jo J Y, In K H, You S H, Kang K H
机构信息
Department of Internal Medicine, Korea University, Guro Hospital, Seoul, Korea.
出版信息
Respiration. 2001;68(1):99-102. doi: 10.1159/000050472.
A case is presented with spontaneous expectoration of a small piece of solid tissue. Pathologic examination of the expectorated tissue was found to be consistent with leiomyosarcoma. After further work-up, there was no evidence of another primary site of leiomyosarcoma except for the right lower lobe. Right lower lobectomy was performed. The surgical specimen showed a tumor that was histologically identical to the patient's previous expectorated tissue. To the authors' knowledge, this is the first report of partial expectoration of a primary endobronchial leiomyosarcoma.
本文报告一例咳出小块实性组织的病例。咳出组织的病理检查结果与平滑肌肉瘤相符。进一步检查后，除右下叶外，未发现平滑肌肉瘤的其他原发部位。遂行右下叶切除术。手术标本显示肿瘤在组织学上与患者之前咳出的组织相同。据作者所知，这是原发性支气管内平滑肌肉瘤部分咳出的首例报告。
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