Tomiyama K, Ishida H, Miyake M, Taki T, Koh S, Okuno T
Department of Chest Surgery, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, Osaka, Japan.
Kyobu Geka. 2003 Jun;56(6):505-8.
A 6-year-old boy was admitted to our hospital with a history of recurrent obstructive pneumonia and hemoptysis. A chest computed tomography (CT) showed atelectasis in the left lower lobe. Angiograpy, which was performed for the suspicion of pulmonary sequestration, showed no feeding artery and revealed bleeding from the bronchial artery in the left lower lobe. As hemoptysis would not stop, an emergency left lower lobectomy was performed. Macroscopic examination of the resected specimen revealed a mass measuring 20 x 15 x 17 mm in the S8 proximal lung parenchyma, bronchiectasis, and an abscess in the distal lung parenchyma. Histopathologic examination determined the tumor was a mucoepidermoid carcinoma. Immunohistochemical staining revealed some tumor cells were positive for CA 19-9. The child has not had a recurrence 3 years postoperatively.
一名6岁男孩因反复出现阻塞性肺炎和咯血病史入住我院。胸部计算机断层扫描（CT）显示左下叶肺不张。因怀疑肺隔离症而行血管造影，未发现供血动脉，显示左下叶支气管动脉出血。由于咯血不止，遂行急诊左下叶切除术。切除标本的宏观检查显示，S8近端肺实质有一个大小为20×15×17mm的肿块，支气管扩张，远端肺实质有一个脓肿。组织病理学检查确定肿瘤为黏液表皮样癌。免疫组化染色显示部分肿瘤细胞CA 19-9呈阳性。该患儿术后3年未复发。
