Yamaguchi Masafumi, Sugio Kenji, Ondo Kaoru, Koga Takaomi, Kase Shinichiro, Yamazaki Koji, Yano Tokujiro, Sugimachi Keizo
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Ann Thorac Cardiovasc Surg. 2002 Jun;8(3):160-2.
A case report of a slowly progressive adenocarcinoma of the lung, followed by computed tomography is herein discussed. The patient was a 76-year-old woman, who was operated on about four years after a small lung nodule on her left upper lobe was discovered. The tumor was suspected to be either well differentiated adenocarcinoma or atypical adenomatous hyperplasia (AAH) by the findings of chest computed tomography before the operation, and the resected specimen demonstrated well differentiated adenocarcinoma, without lymph node metastasis. This case demonstrates the possibility that some adenocarcinomas with particular histology are slowly progressive, and also there might be the option of lobectomy or segmentectomy for treating such tumors.
本文讨论了一例通过计算机断层扫描随访的缓慢进展型肺腺癌病例报告。患者为一名76岁女性,在左上肺叶发现小结节后约四年接受了手术。术前胸部计算机断层扫描结果怀疑肿瘤为高分化腺癌或非典型腺瘤样增生(AAH),切除标本显示为高分化腺癌,无淋巴结转移。该病例表明,某些具有特定组织学特征的腺癌可能进展缓慢,对于此类肿瘤也可能有肺叶切除术或肺段切除术的治疗选择。