Yilmaz Adnan, Güngör Sinem, Damadoğlu Ebru, Aksoy Ferda, Aybatli Aysun, Düzgün Sevim
SSK Süreyyapaşa Center for Chest Diseases and Thoracic Surgery, Department of Pulmonology, Istanbul, Turkey.
Tuberk Toraks. 2004;52(4):369-72.
The synchronous occurrence of pulmonary tuberculosis and bronchial carcinoid tumor is unusual. Although pulmonary tuberculosis can coexist with all histological types of lung cancer, few coexisting cases of bronchial carcinoid tumor and pulmonary tuberculosis have been reported. We present coexistent bronchial carcinoid tumor and pulmonary tuberculosis in the same lobe. A 39-year-old woman was admitted to our clinic with chest pain for two months. Chest radiograph showed consolidation in the right lower field. Computed tomography of the thorax demonstrated multiple mediastinal lymphadenopathies, infiltration and atelectasis in the right lower lobe. Fiberoptic bronchoscopy showed a mass lesion totally obstructing the proximal right lower lobe bronchus. The pathological diagnosis was typical carcinoid tumor. Right lower lobectomy with mediastinal lymph node dissection was performed. The pathological examination of resected material revealed coexistent tuberculosis and carcinoid tumor in the same lobe and mediastinal tuberculous lymphadenitis.
肺结核与支气管类癌瘤同时发生的情况并不常见。虽然肺结核可与所有组织学类型的肺癌并存,但支气管类癌瘤与肺结核并存的病例报道较少。我们报告了同一肺叶内并存支气管类癌瘤和肺结核的病例。一名39岁女性因胸痛两个月入院。胸部X线片显示右下肺野实变。胸部计算机断层扫描显示多个纵隔淋巴结肿大、右下叶浸润和肺不张。纤维支气管镜检查显示一个肿块病变完全阻塞了右下叶近端支气管。病理诊断为典型类癌瘤。行右下肺叶切除术及纵隔淋巴结清扫术。切除标本的病理检查显示同一肺叶内并存结核和类癌瘤以及纵隔结核性淋巴结炎。