Hosoda Hiroshi, Yano M, Izumi H, Akamatsu H, Sunamori M
Department of Thoracic Surgery, Hokushin General Hospital, Nakano, Japan.
Kyobu Geka. 2003 Nov;56(12):1065-7.
A 21-year-old man developed an abnormal shadow of left hilum of the lung, discovered in an annual X-ray examination. The tumor grew 3 times in size as large as it had been 1 year before. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a homogenous mass lesion at the left interloblar portion of the left lung. CT revealed that the left pulmonary artery was markedly compressed by the tumor of left hilum. Surgical operation was performed under usual thoracotomy. The ligation of the branches of the left bronchial artery before tumor resection was very helpful to control bleeding from the tumor. We showed that a tumor of Castleman's disease may be resected without lobectomy of the lung or further procedures.
一名21岁男性在年度X光检查中发现左肺门有异常阴影。肿瘤大小增长至1年前的3倍。计算机断层扫描(CT)和磁共振成像(MRI)显示左肺左叶间部分有一个均匀的肿块病变。CT显示左肺动脉被左肺门肿瘤明显压迫。在常规开胸手术下进行了手术。在肿瘤切除前结扎左支气管动脉分支对控制肿瘤出血非常有帮助。我们证明,Castleman病的肿瘤可以在不进行肺叶切除或其他进一步手术的情况下切除。